Early decision support improves accuracy without increasing testing

Mark Graber mark.graber at IMPROVEDIAGNOSIS.ORG
Tue Jan 31 17:25:51 UTC 2017

Congratulations to Dr Olga Kostopoulou and her collaborators for an interesting and thought-provoking study on the positive impact of using decision-support software EARLY in the diagnostic process. The open access PDF is attached.

In this study, using the DSS significantly improved accuracy, and did this WITHOUT increasing testing. The findings support Olga's previous research findings on the importance of early interventions, and also emphasize that all of this hinges on identifying, understanding, and capturing what the chief complaint (the reason for the visit) really is, and translating that information into a meaningful differential diagnosis.  Our current EMR's will need to evolve to help facilitate each of those steps.

At a time when we're looking for concrete ways to improve diagnosis in practice, the findings in this study are an important contribution.


Mark L Graber, MD FACP
President, SIDM
Senior Fellow, RTI International
Professor Emeritus, Stony Brook University, NY

Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

HTML Version:
URL: <../attachments/20170131/82a0d434/attachment.html> ATTACHMENT:
Name: Kostopoulou et al BJGP 2017.pdf Type: application/pdf Size: 818801 bytes Desc: not available URL: <../attachments/20170131/82a0d434/attachment.pdf> HTML Version:
URL: <../attachments/20170131/82a0d434/attachment-0001.html>

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