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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Evaluation of a Web-based Diagnosis Reminder System for Difficult Diagnostic Reasoning
Yasuharu Tokuda, Keijirou Torigoe, Kentaro Matsumoto, Hideki Yasuda
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DOI:10.17265/2328-7136/2017.02.006
A web-based diagnosis reminder system may help physicians to perform difficult diagnostic reasoning but its performance has not been evaluated in comparison to that of expert physicians. Clinical case conference was conducted using 10 difficult cases related to internal medicine. Two experienced and expert diagnosticians were invited to comprise a team. A physician assisted with a web-based diagnosis reminder system also participated. Two groups were allowed to propose three possibilities for each case immediately obtaining information on history, physical exam and simple tests. Total scores and the number of accurate diagnoses were greater in the computer-assisted physicianthan in the expert physician team. In conclusion, A web-based diagnosis reminder system can help physicians to well perform difficult diagnostic reasoningcompared to expert physicians.
Computer-aided, decision support, diagnosis reminder, diagnostic error, patient safety