Decision And Diagnostic Support Flashcards

1
Q

What is used to support clinical decision making?

A

Clinical decision support systems (CDSS) which are technology that provides clinicians with patient-specific assessments or recommendations to aid decision making.

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2
Q

What are the examples of clinical decision support?

A

Prescribing
Condition management such as diagnosis and treatment
Reminder systems

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3
Q

What are reminder systems?

A

Helpful for keeping up to date with screening and vaccinations of apparently healthy patients. They are useful for identification of risky patient behaviour and flagging up abnormal results.

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4
Q

What are diagnostic systems?

A

Uses the information of an individual patient’s data to model it against epidemiological data, to provide probability of likely differential diagnoses.

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5
Q

What is sensitivity?

A

Ability to detect the presence of a disorder.

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6
Q

What is specificity?

A

Ability to detect the absence of a disorder.

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7
Q

How is prescribing supported by clinical diagnostic support systems? (CDSS)

A

Computer systems aid prescribing by providing information on:
Drug usage
Drugs to prescribe
Drug interactions

These are proven to improve patient performance.

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8
Q

What is Well’s score?

A

Quantifiable risk of the likelihood of developing a DVT.

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9
Q

Why is using a clinical diagnostic support system important?

A

It improves practitioner performance for diagnosis, prescribing and disease management. It also ensures that the rates of screening and vaccinations are maintained which will improve community health outcomes.

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10
Q

What are the barriers for the use of clinical diagnostic support systems?

A

Reminders may increase doctor workload
HCPs with a previous negative experience with IT are unlikely to respond positively to the computer systems
Obscured responsibilities between computer systems and HCPs can lead to loss of autonomy

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11
Q

What can help facilitate the success of clinical diagnostic support systems?

A

When clinicians can identify the success it has on clinical practise
Clinicians have self-control of the CDSS

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12
Q

What are patient decision aids?

A

Resources designed for patients to help them make deliberate choices about their care treatment based on their current health status.

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13
Q

What are the aims of patient decision aids?

A

->Enables patients to understand the probable outcome of an event
->Clarify preferences for patients to decide the personal value they place on the benefits and harm
->Partipcate in deciding on healthcare choices
->Help them move through the steps of making a decision

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14
Q

What are the benefits of patient decision aids?

A

Increases patient knowledge
Leads to more accurate risk perception
Reduces decisional conflict
May affect secondary outcomes like choices about surgery

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15
Q

What are the benefits for AI in medicine?

A

Improve clinical care outcomes
Improves Healthcare quality
Provide medical education and clinical experience
Reduces doctor workload

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16
Q

What are the issues with AI use in healthcare?

A

Possible bias against populations
Discrepancies against results of those with lighter and darker skin
Lack of trust in computer system due to the absence of human qualities
Reduces autonomy that HCPs have for practise
Designing the systems are costly and they may be open to web warfare

17
Q

What are the features of an effective clinical diagnostic support system?

A

Computer based
Providing decision support as a decision happens, integrated as part of the clinician’s workflow
Recommendations for decision management