Diagnostic Decision Support

Introduction

On May 18th, 1996 I gave a presentation on Diagnostic Decision Support Systems. This is the bibliography for the presentation.

Bibliography

• Reviews and Introduction
• Interesting Discussions
• Variety
• The Oracular Systems: Iliad, Quick Medical Reference (QMR), DxPlain

Reviews and Introduction

These articles provide a good introduction to the field.

• Elson RB, Connelly DP. Computerized decision support systems in primary care. Primary Care 1995 Jun;22(2):365-84.
• Miller RA. Medical diagnostic decision support systems--past, present, and future: a threaded bibliography and brief commentary [published erratum appears in J Am Med Inform Assoc 1994 Mar-Apr;1(2):160] J Am Med Inform Assoc 1994 Jan-Feb;1(1):8-27.
• Safran C, Herrmann F, Rind D, Kowaloff HB, Bleich HL, Slack WV. Computer-based support for clinical decision making. MD Comput 1990 Sep-Oct;7(5):319-22.
• Schwartz WB, Patil RS, Szolovits P.. Artificial Intelligence in Medicine: Where Do We Stand? N Engl J Med 1987 Mar 12;316(11)685-87.
• Shortliffe, EH. Computer programs to support clinical decision making. JAMA 1987 July 3;258(1):61-6.
• Taylor P. Invited review: computer aids for decision-making in diagnostic radiology--a literature review. Br J Radiol 1995 Sep;68(813):945-57.

Interesting Discussions

These articles were selected, somewhat idiosyncratically, because I felt they made some important and interesting observations and scholarly additions.

• Bankowitz RA, McNeil MA, Challinor SM, Parker RC, Kapoor WN, Miller RA. A computer-assisted medical diagnostic consultation service. Implementation and prospective evaluation of a prototype [see comments] Ann Intern Med 1989 May 15;110(10):824-32.
• Blois MS. Expert systems: more than a book, less than a human. MD Comput 1987 Jul-Aug;4(4):53-6.
• Bolton P. Clinical decision making. Are computers really helpful? Aust Fam Physician 1995 May;24(5):882, 884-5.
• Cannataci JA. Liability for medical expert systems: an introduction to the legal implications. Med Inf (Lond) 1989 Jul-Sep;14(3):229-41.
• Heathfield HA, Wyatt J. Philosophies for the design and development of clinical decision-support systems. In van Bemmel JH, McCray AT, Advanced Communications in Health Care. Yearbook of Medical Informatics 1994 Schattauer: 332-9.
• Hillson SD, Connelly DP. Computer-assisted test interpretation: Considerations. Journal of Medical Systems 1993 ;16():195-205.
• Johnston ME, Langton KB, Haynes RB, Mathieu A. Effects of computer-based clinical decision support systems on clinician performance and patient outcome. A critical appraisal of research [see comments] Ann Intern Med 1994 Jan 15;120(2):135-42.
• Kassirer JP. A report card on computer-assisted diagnosis--the grade: C [editorial; comment] [see comments] N Engl J Med 1994 Jun 23;330(25):1824-5.
• Kassirer JP. Diagnostic reasoning Ann Intern Med 1989 Jun 1;110(11):893-900..
• Kingsland LC 3d, Lindberg DA, Sharp GC. Anatomy of a knowledge-based consultant system: AI/RHEUM. MD Comput 1986 Sep-Oct;3(5):18-26.
• Leape L. Error in medicine. JAMA 1994 Dec 21;272(23):1851-7.
• Miller RA, Masarie FJ. The demise of the 'Greek Oracle' model for medical diagnostic systems. Methods Inf Med 1990 ;29():1-2.
• Rind DM, Safran C, Phillips RS, Wang Q, Calkins DR, Delbanco TL, Bleich HL, Slack WV. Effect of computer-based alerts on the treatment and outcomes of hospitalized patients. Arch Intern Med 1994 Jul 11;154(13):1511-7.
• Shortliffe EH. The adolescence of AI in medicine: Will the field come of age in the '90s?. In van Bemmel JH, McCray AT, Advanced Communications in Health Care. Yearbook of Medical Informatics 1994 Schattauer: 318-31.
• Taylor TR. The computer and clinical decision-support systems in primary care [comment]. J Fam Pract 1990 Feb;30(2):137-40.
• Turner R. Big brother is looking after your health. BMJ 1993 Dec 18-25;307(6919):1623-4.
• Wyatt J, Spiegelhalter D. Evaluating medical expert systems: what to test and how? Medical Informatics 1990; 15 (3):205-17.
• Weed LL, Zimny NJ. The Problem-Oriented System, Problem-Knowledge Coupling, and Clinical Decision Making Phys Ther 69:565-568, 1989.

Variety

These were selected, fairly randomly, to give a sense of the breadth of the field and the problems addressed.

• Brooks GJ, Ashton RE, Pethybridge RJ. DERMIS: a computer system for assisting primary-care physicians with dermatological diagnosis. Br J Dermatol 1992 Dec;127(6):614-9.
• Florio T, Einfeld S, Levy F. Neural networks and psychiatry: candidate applications in clinical decision making. Aust N Z J Psychiatry 1994 Dec;28(4):651-66.
• Gough IR. Computer assisted diagnosis of the acute abdomen. Aust N Z J Surg 1993 Sep;63(9):699-702.
• Gurney JW. Neural networks at the crossroads: caution ahead [see comments] Radiology 1994 Oct;193(1):27-8.
• Johnson KB, Feldman MJ. Medical informatics and pediatrics. Decision-support systems. Arch Pediatr Adolesc Med 1995 Dec;149(12):1371-80.
• Korpinen L. Computer-aided decision-making for epilepsy and sleep diagnostics. Acta Neurol Scand Suppl 1993;144:1-101.
• Molino G, Arrigoni A. Design of a computer-assisted programme supporting the selection and clinical management of patients referred for liver transplantation. Ital J Gastroenterol 1994 Jan-Feb;26(1):31-43.
• Stoecker WV. Computer-aided diagnosis of dermatologic disorders. Dermatol Clin 1986 Oct;4(4):607-25.
• Vyborny CJ, Giger ML. Computer vision and artificial intelligence in mammography. AJR Am J Roentgenol 1994 Mar;162(3):699-708.

The Oracular Systems: Iliad, Quick Medical Reference (QMR), DxPlain

• Barnett GO, Cimino JJ, Hupp JA, Hoffer EP. DXplain: An evolving diagnostic decision support system. JAMA 1987 Jul 3;258(1):67-74.
• Bergeron B. Iliad: a diagnostic consultant and patient simulator. MD Comput 1991 Jan-Feb;8(1):46-53.
• Berner ES, Jackson JR, Algina J. Relationships among performance scores of four diagnostic decision support systems. J Am Med Inform Assoc 1996 May-Jun ;3(3):208-15.
• Berner ES et al. Performance of four computer-based diagnostic systems. N Engl J Med 1994 Jun 23;330(25):1792-6
• Faughnan J. Iliad. J Fam Pract 1992 May;34(5):642-5.
• Miller R, Masarie FE, Myers JD. Quick Medical Reference (QMR) for diagnostic assistance. MD Comput 1986 Sep-Oct;3(5):34-48.
• Sumner II, W. A review of Iliad and Quick Medical Reference for primary care providers. Two diagnostic computer programs. Arch Fam Med 1993 Jan;2( ):87-95.