Literature DB >> 1807610

Field trials of medical decision-aids: potential problems and solutions.

J Wyatt1, D Spiegelhalter.   

Abstract

Only clinical trials can assess the impact of prototype medical decision-aids, but they are seldom performed before dissemination. Many problems are encountered when designing such studies, including ensuring generality, deciding what to measure, feasible study designs, correcting for biases caused by the trial itself and by the decision-aid, resolving the "Evaluation Paradox", and potential legal and ethical doubts. These are discussed in this paper.

Mesh：

Year:  1991        PMID： 1807610      PMCID： PMC2247484     

Source DB:  PubMed          Journal:  Proc Annu Symp Comput Appl Med Care        ISSN： 0195-4210


  13 in total

1.  Evaluating black-boxes as medical decision aids: issues arising from a study of neural networks.

Authors:  A Hart; J Wyatt
Journal:  Med Inform (Lond)       Date:  1990 Jul-Sep

2.  Evaluating medical expert systems: what to test and how?

Authors:  J Wyatt; D Spiegelhalter
Journal:  Med Inform (Lond)       Date:  1990 Jul-Sep

3.  Computer aided diagnosis of acute abdominal pain: a multicentre study.

Authors:  I D Adams; M Chan; P C Clifford; W M Cooke; V Dallos; F T de Dombal; M H Edwards; D M Hancock; D J Hewett; N McIntyre
Journal:  Br Med J (Clin Res Ed)       Date:  1986-09-27

4.  Decision aids and the law.

Authors:  D Brahams; J Wyatt
Journal:  Lancet       Date:  1989-09-09       Impact factor: 79.321

5.  Computer programs to support clinical decision making.

Authors:  E H Shortliffe
Journal:  JAMA       Date:  1987-07-03       Impact factor: 56.272

6.  The evaluation of artificial intelligence systems in medicine.

Authors:  P L Miller
Journal:  Comput Methods Programs Biomed       Date:  1986-03       Impact factor: 5.428

7.  Evaluating medical expert systems.

Authors:  H P Lundsgaarde
Journal:  Soc Sci Med       Date:  1987       Impact factor: 4.634

8.  Routine use of a scoring system for decision-making in suspected acute appendicitis in adults.

Authors:  G Fenyö
Journal:  Acta Chir Scand       Date:  1987-09

9.  Evaluation of clinical decision-aids, with an application to a system for dyspepsia.

Authors:  D J Spiegelhalter
Journal:  Stat Med       Date:  1983 Apr-Jun       Impact factor: 2.373

10.  A predictive instrument to improve coronary-care-unit admission practices in acute ischemic heart disease. A prospective multicenter clinical trial.

Authors:  M W Pozen; R B D'Agostino; H P Selker; P A Sytkowski; W B Hood
Journal:  N Engl J Med       Date:  1984-05-17       Impact factor: 91.245
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  16 in total

1.  SRCAST-Diagnosis: understanding how different members of a patient-care team interact with clinical decision support system.

Authors:  Shizhuo Zhu; Madhu Reddy; John Yen; Christopher DeFlitch
Journal:  AMIA Annu Symp Proc       Date:  2011-10-22

Review 2.  Precision diagnosis: a view of the clinical decision support systems (CDSS) landscape through the lens of critical care.

Authors:  Arnaud Belard; Timothy Buchman; Jonathan Forsberg; Benjamin K Potter; Christopher J Dente; Allan Kirk; Eric Elster
Journal:  J Clin Monit Comput       Date:  2016-02-22       Impact factor: 2.502

Review 3.  Differential diagnosis generators: an evaluation of currently available computer programs.

Authors:  William F Bond; Linda M Schwartz; Kevin R Weaver; Donald Levick; Michael Giuliano; Mark L Graber
Journal:  J Gen Intern Med       Date:  2012-02       Impact factor: 5.128

4.  Automated clinical reminders for primary care providers in the care of CKD: a small cluster-randomized controlled trial.

Authors:  Khaled Abdel-Kader; Gary S Fischer; Jie Li; Charity G Moore; Rachel Hess; Mark L Unruh
Journal:  Am J Kidney Dis       Date:  2011-10-07       Impact factor: 8.860

5.  icuARM-An ICU Clinical Decision Support System Using Association Rule Mining.

Authors:  Chih-Wen Cheng; Nikhil Chanani; Janani Venugopalan; Kevin Maher; May Dongmei Wang
Journal:  IEEE J Transl Eng Health Med       Date:  2013-11-21       Impact factor: 3.316

6.  Randomized trial of a clinical decision support system: impact on the management of children with fever without apparent source.

Authors:  Jolt Roukema; Ewout W Steyerberg; Johan van der Lei; Henriëtte A Moll
Journal:  J Am Med Inform Assoc       Date:  2007-10-18       Impact factor: 4.497

7.  Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients.

Authors:  Arjen E de Vries; Martje H L van der Wal; Maurice M W Nieuwenhuis; Richard M de Jong; Rene B van Dijk; Tiny Jaarsma; Hans L Hillege; Rene J Jorna
Journal:  BMC Med Inform Decis Mak       Date:  2013-04-26       Impact factor: 2.796

8.  Decision tools in health care: focus on the problem, not the solution.

Authors:  Joseph Liu; Jeremy C Wyatt; Douglas G Altman
Journal:  BMC Med Inform Decis Mak       Date:  2006-01-20       Impact factor: 2.796

Review 9.  Computer decision support systems for asthma: a systematic review.

Authors:  Patricia Matui; Jeremy C Wyatt; Hilary Pinnock; Aziz Sheikh; Susannah McLean
Journal:  NPJ Prim Care Respir Med       Date:  2014-05-20       Impact factor: 2.871

10.  Improvement of the educational process by computer-based visualization of procedures: randomized controlled trial.

Authors:  Manuel Enzenhofer; Hans-Bernd Bludau; Nadja Komm; Beate Wild; Knut Mueller; Wolfgang Herzog; Achim Hochlehnert
Journal:  J Med Internet Res       Date:  2004-06-02       Impact factor: 5.428
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