Evaluation of a Web-based Diagnosis Reminder System for Difficult Diagnostic Reasoning  

作　　者：Yasuharu Tokuda Keijirou Torigoe Kentaro Matsumoto Hideki Yasuda 

机构地区：[1]JCHO Hospitals, Tokyo, 108-8583, Japan [2]Torigoe Clinic, Ibara, Okayama, 715-0025, Japan [3]Osaka National Hospital, Osaka city, Osaka, 540-0006, Japan [4]Yasuda Clinic, Okayama city, Okayama, 700-0862, Japan

出　　处：《Journal of Health Science》2017年第2期107-109,共3页健康科学（英文版）

摘　　要：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.

关 键 词：COMPUTER-AIDED decision support diagnosis reminder diagnostic error patient safety. 

分 类 号：Q[生物学]