Using value of information to guide evaluation of decision supports for differential diagnosis

Is it time for a new look?

R. Scott Braithwaite, Matthew Scotch

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Decision support systems for differential diagnosis have traditionally been evaluated on the basis of criteria how sensitively and specifically they are able to identify the correct diagnosis established by expert clinicians. Discussion. This article questions whether evaluation criteria pertaining to identifying the correct diagnosis are most appropriate or useful. Instead it advocates evaluation of decision support systems for differential diagnosis based on the criterion of maximizing value of information. Summary. This approach quantitatively and systematically integrates several important clinical management priorities, including avoiding serious diagnostic errors of omission and avoiding harmful or expensive tests.

Original languageEnglish (US)
Article number105
JournalBMC Medical Informatics and Decision Making
Volume13
Issue number1
DOIs
StatePublished - 2013

Fingerprint

Differential Diagnosis
Diagnostic Errors

Keywords

  • Decision support
  • Differential diagnosis
  • Value of information

ASJC Scopus subject areas

  • Health Informatics
  • Health Policy

Cite this

@article{9f675a7828344b7ab83b3d1242afff39,
title = "Using value of information to guide evaluation of decision supports for differential diagnosis: Is it time for a new look?",
abstract = "Background: Decision support systems for differential diagnosis have traditionally been evaluated on the basis of criteria how sensitively and specifically they are able to identify the correct diagnosis established by expert clinicians. Discussion. This article questions whether evaluation criteria pertaining to identifying the correct diagnosis are most appropriate or useful. Instead it advocates evaluation of decision support systems for differential diagnosis based on the criterion of maximizing value of information. Summary. This approach quantitatively and systematically integrates several important clinical management priorities, including avoiding serious diagnostic errors of omission and avoiding harmful or expensive tests.",
keywords = "Decision support, Differential diagnosis, Value of information",
author = "Braithwaite, {R. Scott} and Matthew Scotch",
year = "2013",
doi = "10.1186/1472-6947-13-105",
language = "English (US)",
volume = "13",
journal = "BMC Medical Informatics and Decision Making",
issn = "1472-6947",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Using value of information to guide evaluation of decision supports for differential diagnosis

T2 - Is it time for a new look?

AU - Braithwaite, R. Scott

AU - Scotch, Matthew

PY - 2013

Y1 - 2013

N2 - Background: Decision support systems for differential diagnosis have traditionally been evaluated on the basis of criteria how sensitively and specifically they are able to identify the correct diagnosis established by expert clinicians. Discussion. This article questions whether evaluation criteria pertaining to identifying the correct diagnosis are most appropriate or useful. Instead it advocates evaluation of decision support systems for differential diagnosis based on the criterion of maximizing value of information. Summary. This approach quantitatively and systematically integrates several important clinical management priorities, including avoiding serious diagnostic errors of omission and avoiding harmful or expensive tests.

AB - Background: Decision support systems for differential diagnosis have traditionally been evaluated on the basis of criteria how sensitively and specifically they are able to identify the correct diagnosis established by expert clinicians. Discussion. This article questions whether evaluation criteria pertaining to identifying the correct diagnosis are most appropriate or useful. Instead it advocates evaluation of decision support systems for differential diagnosis based on the criterion of maximizing value of information. Summary. This approach quantitatively and systematically integrates several important clinical management priorities, including avoiding serious diagnostic errors of omission and avoiding harmful or expensive tests.

KW - Decision support

KW - Differential diagnosis

KW - Value of information

UR - http://www.scopus.com/inward/record.url?scp=84883616050&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84883616050&partnerID=8YFLogxK

U2 - 10.1186/1472-6947-13-105

DO - 10.1186/1472-6947-13-105

M3 - Article

VL - 13

JO - BMC Medical Informatics and Decision Making

JF - BMC Medical Informatics and Decision Making

SN - 1472-6947

IS - 1

M1 - 105

ER -