Hi all. This is an important topic. Here are some references / pointers for those who wish to read more:
"Decision making in health and medicine. Integrating evidence and values" Myriam Hunink and Paul Glasziou Cambridge university press (ISBN 0 521 77029 7) Society for Medical Decision Making: http://www.smdm.org/ I also recommend journal articles written by Wimla L Patel (Colombia university, New York), for instance: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=11418539 (A primer on aspects of cognition for medical informatics) regards arild Faxvaag P? 22. apr. 2005 kl. 07.42 skrev Gerard Freriks: > -1- Almost never a diagnosis is 100% certain. > -2- Almost always a test result has uncertainty attached to it > -3- Many times a conclusion is reached based on many uncertain and > conflicting facts > -4- Quite often a condition, a diagnosis, is assumed that gives rise > to a treatment. Not indicating that the patient is suffering from this > condition but using treatment as a test procedure. Doing nothing is > such a test procedure. > > Eric Wulff (from Danmark) published philisophical texts about health > care and these topics. > > gerard > > -- <private> -- > Gerard Freriks, arts > Huigsloterdijk 378 > 2158 LR Buitenkaag > The Netherlands > > +31 252 544896 > +31 654 792800 > On 20 Apr 2005, at 13:58, Thomas Beale wrote: > >> I'm wondering if there is a meta-algorithm of some sort lurking >> behind the scenes, which takes account of uncertainty in a note, and >> also severity of non-discounted possibilities, as a way of deciding >> what to do next. There is undoubtedly published work on this... >> >> thoughts? >> >> - thomas beale >> -- Arild Faxvaag associate professor / rheumatologist Adress / Office St.Olavs hospital: Department of Rheumatology, St.Olavs hospital N-7006 Trondheim, Norway Phone Dept of Rheumatology 47 7386 7263 Adress / Office NTNU Norwegian center for electronic patient records research (NSEP) Medisinsk teknisk forskningssenter N-7489 Trondheim Cellphone: 47 9821 6825 http://www.ntnu.no/~arildfa/ (home page NTNU) http://www.usemed.com (weblog on e-medicine) http://www.ehr.ntnu.no/e (Norwegian Centre for Electronic Health Records Research) -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: text/enriched Size: 2315 bytes Desc: not available URL: <http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20050426/9447967b/attachment.bin>
