TiMeDDx - A multi-phase anchor-based diagnostic decision-support model

Journal of Biomedical Informatics

Volumn 43, Issue 1, 2010, Pages 111-124

  Denekamp, Yaron ^a,b,c   Peleg, Mor ^d,e  

^a TECHNION ISRAEL INSTITUTE OF TECHNOLOGY   (Israel)

^b CLALIT HEALTH SERVICES   (Israel)

^c CARMEL MEDICAL CENTER   (Israel)

^d UNIVERSITY OF HAIFA   (Israel)

^e STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Clinical diagnosis; Decision support systems; Diagnostic decision support systems; Problem oriented diagnosis; TiMeDDx

Indexed keywords

BAYESIAN; CLINICAL DIAGNOSIS; CLINICAL INVESTIGATION; CLINICAL MANIFESTATION; CLINICAL PROBLEMS; CLINICAL REASONING; DIAGNOSTIC ALGORITHMS; DIAGNOSTIC DECISIONS; DIFFERENTIAL DIAGNOSIS; KNOWLEDGE BASE; KNOWLEDGE MODEL; REASONING PROCESS;

ABSTRACTING; DECISION SUPPORT SYSTEMS; HEURISTIC ALGORITHMS; KNOWLEDGE BASED SYSTEMS;

DIAGNOSIS;

ALGORITHM; ARTICLE; BAYES THEOREM; CLINICAL FEATURE; DECISION SUPPORT SYSTEM; DIAGNOSTIC PROCEDURE; DIAGNOSTIC REASONING; DIARRHEA; DIFFERENTIAL DIAGNOSIS; HUMAN; KNOWLEDGE BASE; PRIORITY JOURNAL; TIMEDDX;

ALGORITHMS; BAYES THEOREM; COMPUTER GRAPHICS; COMPUTER SIMULATION; DECISION SUPPORT SYSTEMS, CLINICAL; DECISION SUPPORT TECHNIQUES; DIAGNOSIS, DIFFERENTIAL; DIARRHEA; EXPERT SYSTEMS; HUMANS; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; PROBLEM SOLVING; SOFTWARE; USER-COMPUTER INTERFACE;

EID: 74649086137     PISSN: 15320464     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jbi.2009.08.001     Document Type: Article

References (50)

1. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. National Academy Press; 2001.
2. Musen M.A., Shahar Y., and Shortliffe E.H. Clinical decision-support systems. In: Shortliffe E.H., Perreault L.E., Wiederhold G., and Fagan L.M. (Eds). Medical informatics: computer applications in health care and biomedicine. 2nd ed. (2001), Springer, New York 573-609
3. Miller R.A., and Geissbuhler A.G. Chapter 5: diagnostic decision support systems. In: Berner E.S. (Ed). Clinical Decision Support Systems: theory and practice. 2nd ed. (2007), Springer 99-125
4. Shortliffe E.H., Axline S.G., Buchanan B.G., Merigan T.C., and Cohen S.N. An artificial intelligence program to advise physicians regarding antimicrobial therapy. Comput Biomed Res 6 (1973) 544-560
5. Eshelman L., Ehret D., McDermott J., and Tan M. MOLE: a tenacious knowledge-acquisition tool. Int J Man Machine Stud 26 1 (1987) 41-54
6. Miller R., Masarie F.E., and Myers J.D. Quick Medical Reference (QMR) for diagnostic assistance. MD Comput 3 5 (1986) 34-48
7. Ramnarayan P, Kulkarni G, Tomlinson A, Britto J. ISABEL: a novel Internet-delivered clinical decision support system. In: Bryant J, editor. Current perspectives in healthcare computing. Harrogate, UK; 2004. p. 245-54.
8. Shwe M., and Cooper G. An empirical analysis of likelihood-weighting simulation on a large, multiply-connected medical belief network. Comput Biomed Res 24 5 (1991) 453-475
9. Logic Medical Systems. PAIRS (Physician Assistant Artificial Intelligence Reference System); 2007. Available from: http://cyberdoc.freewebspace.com/, last accessed June 25, 2009.
10. Lincoln M.J., Turner C.W., Haug P.J., Warner H.R., Williamson J.W., Bouhaddou O., et al. Iliad training enhances medical students' diagnostic skills. J Med Syst 15 1 (1991) 93-110
11. Edberg S.C. Global Infectious Diseases and Epidemiology Network (GIDEON): a world wide Web-based program for diagnosis and informatics in infectious diseases. Clin Infect Dis 40 1 (2005) 123-126
12. Barnett G.O., Famiglietti K.T., Kim R.J., Hoffer E.P., and Feldman M.J. DXplain on the Internet. Proc AMIA Symp (1998) 607-611
13. Weed L.L., and Hertzberg R.Y. The use and construction of problem-knowledge couplers, the knowledge coupler editor, knowledge networks, and the problem-oriented medical record for the microcomputer. Proc Symp Comp Appl Med Care (1983) 831-836
14. de Dombal F.T. Computer-aided diagnosis and decision-making in the acute abdomen. J R Coll Physicians Lond 9 3 (1975) 211-218
15. Miller R.A., Pople H.E., and Myers J.D. Internist-1, an experimental computer-based diagnostic consultant for general internal medicine. N Engl J Med 307 8 (1982) 468-476
16. Aliferis C.F., Cooper G.F., and Bankowitz R. A temporal analysis of QMR: abstracted temporal representation and reasoning and initial assessment of diagnostic performance trade-offs. Proc Symp Comp Appl Med Care (1994) 709-715
17. Lemaire J.B., Schaefer J.P., Martin L.A., Faris P., Ainslie M.D., and Hull R.D. Effectiveness of the quick medical reference as a diagnostic tool. CMAJ 161 6 (1999) 725-728
18. Friedman C.P., Elstein A.S., Wolf F.M., Murphy G.C., Franz T.M., Heckerling P.S., et al. Enhancement of clinicians' diagnostic reasoning by computer-based consultation: a multisite study of 2 systems. JAMA 282 19 (1999) 1851-1856 Erratum in: JAMA 2001;285(23):2979
19. Waxman H.S., and Worley W.E. Computer-assisted adult medical diagnosis: subject review and evaluation of a new microcomputer-based system. Medicine (Baltimore) 69 3 (1990) 125-136
20. Tierney L.M., and Henderson M. The patient history: evidence-based approach (2005), McGraw-Hill Medical
21. Denekamp Y., Nasreldeen O., and Peleg M. Characterization of the knowledge contained in diagnostic problem oriented clinical practice guidelines. Proc AMIA Symp (2007) 929
22. Balla U., Malnick S., and Schattner A. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Medicine (Baltimore) 87 5 (2008) 294-300
23. Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med 78 8 (2003) 775-780
24. Giuse D.A., Miller R.A., and Giuse N.B. Chapter 17: strategies for medical knowledge acquisition. In: van Bemmel J.H., and Musen M.A. (Eds). Handbook of medical informatics (1997), Springer 277-291
25. van Ast J., Talmon J.L., Renier W.O., and Hasman A. An approach to knowledge base construction based on expert opinions. Methods Inf Med 43 4 (2004) 427-432
26. van Bemmel J.H., and Musen M.A. Handbook of medical informatics (1997), Springer
27. Peleg M., and Tu S.W. Decision support, knowledge representation and management in medicine. In: Kulikowski C., and Haux R. (Eds). International medical informatics association (IMIA) yearbook of medical informatics: assessing information technologies for health (2006), Schattauer GmbH, Germany
28. Patil RS, Szolovits P, Schwartz WB. Causal understanding of patient illness in medical diagnosis. In: Proc. seventh int. joint conf. artif. intel.; 1981. p. 893-9.
29. Szolovits P., Patil R.S., and Schwartz W.B. Artificial intelligence in medical diagnosis. Ann Intern Med 108 1 (1988) 80-87
30. Pople Jr. H.E. Heuristic methods for imposing structure on ill-structured problems: the structuring of medical diagnostics. In: Szolovits P. (Ed). Artificial intelligence in medicine (1982), Westview Press, Boulder, Colorado
31. Elstein A.S., and Schwartz A. Chapter 10: clinical reasoning in medicine. In: Higgs J., and Jones M.A. (Eds). Clinical reasoning in the health professions. 2nd ed. (2000), Butterworth-Heinemann
32. Shortliffe E.H., and Barnett G.O. Chapter 2: biomedical data: their acquisition, storage, and use. In: Shortliffe E.H., and Cimino J.J. (Eds). Biomedical informatics: computer applications in health care and biomedicine. 3rd ed. (2006), Springer
33. Eddy D.M., and Clanton C.H. The art of diagnosis: solving the clinicopathological conference. N Engl J Med 306 21 (1982) 1263-1269
34. Hampton J.R., Harrison M.J., Mitchell J.R., Prichard J.S., and Seymour C. Relative contributions of history-taking, physical examination, and laboratory investigation to diagnosis and management of medical outpatients. Br Med J 31 2(5969) (1975) 486-489
35. Peterson M., Holbrook J.H., Hales D.V., Smith N.L., and Staker L.V. Contributions of the history, physical examination, and laboratory investigation in making medical diagnoses. West J Med 156 2 (1992) 163-165
36. Behrman R.E., Kliegman R.M., and Jenson H.B. Nelson textbook of pediatrics. 17th ed. (2004), Elsevier
37. Fauci A.S., Braunwald E., Kasper D.L., and Hauser S.L. Harrison's principles of internal medicine. 17th ed. (2008), McGraw-Hill Professional
38. Newell A., and Simon H.A. Human problem solving (1972), Prentice Hall, Englewood Cliffs, NJ
39. Pauker S.G., Gorry G.A., Kassirer J.P., and Schwartz W.B. Towards the simulation of clinical cognition: taking a present illness by computer. Am J Med 60 7 (1976) 981-996
40. Miller R.A., and Masarie F.E. The demise of the "Greek Oracle" model for medical diagnosis systems. Methods Inf Med 29 1 (1990) 1-2
41. Miller R.A. Why the standard view is standard: people, not machines, understand patient's problems. J Med Philos 15 (1990) 581-591
42. Gennari J., Musen M.A., Fergerson R.W., Grosso W.E., Crubezy M., Eriksson H., et al. The evolution of protege: an environment for knowledge-based systems development. Int J Hum Comput Interact 58 1 (2002) 89-123
43. Hoffer J.A., George J.F., and Valacich J.S. Modern system analysis and design. 3rd ed. (2002), Prentice Hall
44. Guerrant R.L., Gilder T.V., Steiner T.S., Thielman N.M., Slutsker L., Tauxe R.V., et al. Practice guidelines for the management of infectious diarrhea. Clin Infect Dis 32 3 (2001) 331-351
45. Peleg M, Wang D, Fodor A, Keren S, Karnieli E. Lessons learned from adapting a generic narrative diabetic-foot guideline to an institutional decision-support system. In: ten Teije A, Miksch S, Lucas P, editors. Computer-based medical guidelines and protocols: a primer and current trends. Studies in health technology and informatics; 2008. p. 243-52.
46. Patel V.L., and Ramoni M. Cognitive models of directional inference in expert medical reasoning. In: Ford K., Feltovich P., and Hoffman R. (Eds). Human & machine cognition (1997), Lawrence Erlbaum Associates, Hillsdale, NJ 67-99
47. Gaines B.R., and Shaw M.L.G. Integrated knowledge acquisition architectures. J Intel Info Sys 1 1 (1992) 9-34
48. Steels L. Components of expertise. AI Magazine 11 2 (1990) 28-49
49. Baroni P., Guida G., and Zanella M. Managing uncertainty in diagnosis of acute coronaric ischemia. Artif Intel Med 23 2 (2001) 129-147
50. Peleg M., Boxwala A.A., Tu S., Zeng Q., Ogunyemi O., Wang D., et al. The InterMed approach to sharable computer-interpretable guidelines: a review. J Am Med Inform Assoc 11 1 (2004) 1-10