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Improved Patient Problem List Enhances Diagnoses
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JMAUDE481
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JMAUDE481,
User Rank: Apprentice
2/2/2012 | 7:23:27 PM
re: Improved Patient Problem List Enhances Diagnoses
Conceptually this is surely the wrong way around? Clinicians should not be using an analysis of all the medications and tests they ordered (a staggering 118 tests per patient in the study) to infer the diagnosis or diagnoses that they are treating them for. They should start with the signs and symptoms, work up a good differential and let that point them towards the appropriate tests to order.

The Isabel diagnosis checklist tool (http://www.isabelhealthcare.co...) will enable them to build a comprehensive differential in seconds and the recently integrated Best Practice tool from the BMJ will tell them the 1st and 2nd line tests to order for each diagnosis. Clearly, this could also be used to populate a problem list.

If we are trying to drive a more efficient, high quality health system then using the vast over ordering of tests to tell the clinician the possible diagnoses he is treating seems perverse however clever the software.


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