Kevin C S Liang wrote:
...clip...
> -main product is MedWorks : a software system to help doctors
> tread/diagnose patients.  the article is a bit vague about this, but I
> assume that it also covers patient management.  Apparently, the program
> can suggest courses of action based on input from an MD.
> 
Diagnosis:
In general, diagnosis-assistance software is not very helpful
clinically for a number of reasons, chiefly that it's extremely
tedious to collect and enter all the little scraps of data the
software wants; and in the end, it does little more than suggest
the same differential diagnosis one could find in 60 seconds by
grabbing a textbook off the shelf.

Treatment:
Dr. Dave Pepper has developed a nice module for asthma managment that
writes the doctor's progress note in sensible English as eval/treatment
choices are made, and causes the doc to follow currently recommended
protocols.  This technique is very nice, although labor-intensive for
the developer; the obvious limitation is how to extend this to the
corpus of medical practice, most of which is not defined as exactly
as the management of asthma.  One will obviously be limited to the
most common and best studied chronic conditions, so this sort of
thing will always be a suppplementary tool, not the center of the
documentation process.

A third possibility for such software is in quality assurance, to
ensure that clinicians are reminded about QA protocols that are
currently in fad.

Dan Johnson md

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