Abstract
Diagnosis, treatment and prognosis are three different stages in the practice of medicine. All of these require some kind of decisions that are based on medical knowledge and the physician’s experience, among other factors. In this paper, we first present a set of key questions that involve clinical decisions and that are faced by medical practitioners in a daily basis. We then discuss the type and codification of the information needed to answer these questions. Finally, we introduce a family of knowledge-experience decision tables to store this information and to provide answers to the aforementioned questions.
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References
Berlin, A., Sorani, M., Sim, I.: A Taxonomic Description of Computer-Based Clinical Decision Support Systems. Journal of Biomedical Informatics 39, 656–667 (2006)
Niteesh, K., Choudhry, N.K., Robert, H., Fletcher, R.H., Stephen, B., Soumerai, S.B.: Systematic Review: The Relationship between Clinical Experience and Quality of Health Care. Ann. Intern. Med. 142(4), 260–273 (2005)
Dall’Alba, G.: Understanding Medical Practice: Different Outcomes of a Pre-Medical Program. Advances in Health Sciences 7, 163–177 (2002)
de Lusignan, S.: Codes, classifcations, terminologies and nomenclatures: Definition, development and application in practice. Informatics in Primary Care 13(1), 65–69 (2005)
Fauci, A.S., Braunwald, E., Kasper, D.L., Hauser, S.L., Longo, D.L., Jameson, J.L., Loscalzo, J. (eds.): Harrison’s principles of internal medicine, 17th edn. (2008)
Kaplan, B.: Evaluating Informatics Applications - Clinical Decisions Support Systems Literature Review. Int. Journal of Medical Informatics 64, 15–37 (2001)
Meltzer, D., Manning, W.G., Morrison, J., Shah, M.N., Jin, L., Guth, T., Levinson, W.: Effects of Physician Experience on Costs and Outcomes on an Academic General Medicine Service: Results of a Trial of Hospitalists. Ann. Intern. Med. 137, 866–874 (2002)
Miller, R.A.: Medical Diagnostic Decision Support Systems - Past, Present, and Future. JAMIA 1, 8–27 (1994)
Miller, G.C., Britt, H.: A new drug classification for computer systems: the ATC extension code. Int. Journal of Biomedical Computing 40(2), 121–124 (1995)
Owens, D.K., Qaseem, A., Chou, R., Shekelle, P.: High-Value, Cost-Conscious Health Care: Concepts for Clinicians to Evaluate the Benefits, Harms, and Costs of Medical Interventions. Ann. Intern. Med. 154, 174–180 (2011)
Peleg, M., Tu, S.: Decision Support, Knowledge Representation and Management in Medicine. IMIA Yearbook of Medical Informatics, 72–80 (2006)
Riaño, D., Bohada, J.A., López-Vallverdú, J.A., Collado, A.: MPM: A knowledgebased model of medical practice (submitted 2011), ask a copy by email to david.riano@urv.net
Ruland, C.M.: A Survey about the Usefulness of Computerized Systems to Support Illness Management in Clinical Practice. Int. Journal of Medical Informatics 73, 797–805 (2004)
Shiffman, R.N.: Representation of Clinical Practice Guidelines in Conventional and Augmented Decision Tables. JAMIA 4(5), 382–393 (1997)
Shiffman, R.N.: Use of augmented decision tables to convert probabilistic data into clinical algorithms for the diagnosis of appendicitis. In: Proc. Annual Symposium on Computer Application in Medical Care, pp. 686–690 (1991)
Shortliffe, E.H., Buchanan, B.G., Feigenbaum, E.A.: Knowledge Engineering for Medical Decision Making: A Review of Computer-Based Clinical Decision Aids. Proc. of the IEEE 67(9), 1207–1224 (1979)
Turban, E.: Implementing Decision Support Systems: A survey. In: IEEE Int. Conf. on Systems, Man, and Cybernetics, pp. 2540–2545 (1996)
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Riaño, D. (2012). A Systematic Analysis of Medical Decisions: How to Store Knowledge and Experience in Decision Tables. In: Riaño, D., ten Teije, A., Miksch, S. (eds) Knowledge Representation for Health-Care. KR4HC 2011. Lecture Notes in Computer Science(), vol 6924. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27697-2_2
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DOI: https://doi.org/10.1007/978-3-642-27697-2_2
Publisher Name: Springer, Berlin, Heidelberg
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Online ISBN: 978-3-642-27697-2
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