NHS England today 23rd October 2014 has published its 5 Year Forward Report which shows the NHS is at a cross road and needs to change and improve as it moves forward. The report is a collaboration between the six leading NHS groups including:
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Topics: clinical decision support, NHS, cancer, dementia
It is with great pleasure that we introduce our guest post from Robert Hitchcock, M.D., FACEP, Chief Medical Informatics Officer, Vice President, T-System, Inc. describing 'How to avoid Diagnostic Errors in the Emergency Department'.
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Topics: clinical decision support, diagnosis decision support, T-systems, Robert Hitchcock
Over 45 years ago, in 1968 Dr Lawrence Weed published an article on Medical Records that Guide and Teach which described the problem-orientated medical record (POMR) where organized problem lists and medical records are critical to clear decision making. The POMR was implemented worldwide and became a standard for medical documentation.
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Topics: clinical decision support, diagnostic error, Dr Larry Weed, problem orientated medical record, Misdiagnosis, diagnostic software, evidence-based medicine
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Isabel diagnosis tool searches an extensive database of conditions for differential diagnosis support, and we often will test its accuracy with real patient cases from the New England Journal of Medicine.
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Topics: clinical decision support, diagnosis decision support, Differential diagnosis, diagnosis tool
Isabel is used around the world by physicians, physician assistants and nurse practitioners. In the United States, within the hospitals, physician practices, medical and nursing schools that use Isabel, we see the various groups incorporating Isabel into their workflow. Now that Isabel is available on smart phones and tablets such as iPhones, Droids and iPads, Isabel is that much more accessible at point of care. Today we want to talk you about how several residency programs around the country have integrated Isabel into their workflow.
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Topics: medical school, diagnosis decision support, clinical decision support, Isabel, residents, residency programs, diagnostic skills
DDX tools could help to avoid diagnosis errors in the ICU
The idea for the Isabel diagnosis support tool first came to us while sitting in the ICU. A decade ago, my family and I were spending long hours in the ICU caring for our toddler, Isabel Maude, after she was diagnosed late with necrotising fasciitis. We realized the ICU doctors often can see the long perspective of what happened to a patient, as they see how the patient got there and what mistakes were made along the way. With the luxury of hindsight they can see, for example, that if only a clinician had, metaphorically, turned left instead of right then the patient would not have ended up in ICU.
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Topics: clinical decision support, Misdiagnosis, diagnosis decision support, Differential diagnosis, medical diagnosis, ddx, diagnosis tool, diagnosis generator, diagnostic decision support, ICU
Texas is experiencing an outbreak of West Nile Virus which so far has killed 10 people, and an additional 200 people are currently suffering from West Nile Virus. The Centre for Disease Control and Prevention has stated that nearly half of all cases of West Nile so far this year are in the Texas region.
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Topics: diagnosis decision support, Differential diagnosis, clinical decision support, west nile virus, west nile encephalitis
Isabel Diagnosis spotlight on: Ebola Virus
Article Summary
Ebola is an aggressive virus and requires swift diagnosis, medical attention and containment. Mobile diagnosis applications and clinical decision support can be of great help to assist clinicians in diagnosis and treatment, as mobile access has the distinct advantage over desktop programs in countries that lack onging power sources.
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Topics: diagnosis, ddx, medical diagnosis, ebola, clinical decision support