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
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U2 - 10.1186/1472-6947-13-105
DO - 10.1186/1472-6947-13-105
M3 - Article
C2 - 24020989
AN - SCOPUS:84883616050
SN - 1472-6947
VL - 13
JO - BMC Medical Informatics and Decision Making
JF - BMC Medical Informatics and Decision Making
IS - 1
M1 - 105
ER -