Implications for the design of a Diagnostic Decision Support System (DDSS) to reduce time and cost to diagnosis in paediatric shoulder instability
Authors: Philp, F., Faux-Nightingale, A., Woolley, S., de Quincey, E. and Pandyan, A.
Journal: BMC Medical Informatics and Decision Making
Volume: 21
Issue: 1
eISSN: 1472-6947
DOI: 10.1186/s12911-021-01446-5
Abstract:Background: Currently the diagnosis of shoulder instability, particularly in children, is difficult and can take time. These diagnostic delays can lead to poorer outcome and long-term complications. A Diagnostic Decision Support System (DDSS) has the potential to reduce time to diagnosis and improve outcomes for patients. The aim of this study was to develop a concept map for a future DDSS in shoulder instability. Methods: A modified nominal focus group technique, involving three clinical vignettes, was used to elicit physiotherapists decision-making processes. Results: Twenty-five physiotherapists, (18F:7 M) from four separate clinical sites participated. The themes identified related to ‘Variability in diagnostic processes and lack of standardised practice’ and ‘Knowledge and attitudes towards novel technologies for facilitating assessment and clinical decision making’. Conclusion: No common structured approach towards assessment and diagnosis was identified. Lack of knowledge, perceived usefulness, access and cost were identified as barriers to adoption of new technology. Based on the information elicited a conceptual design of a future DDSS has been proposed. Work to develop a systematic approach to assessment, classification and diagnosis is now proposed. Trial Registraty This was not a clinical trial and so no clinical trial registry is needed.
https://eprints.bournemouth.ac.uk/36622/
Source: Scopus
Implications for the design of a Diagnostic Decision Support System (DDSS) to reduce time and cost to diagnosis in paediatric shoulder instability.
Authors: Philp, F., Faux-Nightingale, A., Woolley, S., de Quincey, E. and Pandyan, A.
Journal: BMC Med Inform Decis Mak
Volume: 21
Issue: 1
Pages: 78
eISSN: 1472-6947
DOI: 10.1186/s12911-021-01446-5
Abstract:BACKGROUND: Currently the diagnosis of shoulder instability, particularly in children, is difficult and can take time. These diagnostic delays can lead to poorer outcome and long-term complications. A Diagnostic Decision Support System (DDSS) has the potential to reduce time to diagnosis and improve outcomes for patients. The aim of this study was to develop a concept map for a future DDSS in shoulder instability. METHODS: A modified nominal focus group technique, involving three clinical vignettes, was used to elicit physiotherapists decision-making processes. RESULTS: Twenty-five physiotherapists, (18F:7 M) from four separate clinical sites participated. The themes identified related to 'Variability in diagnostic processes and lack of standardised practice' and 'Knowledge and attitudes towards novel technologies for facilitating assessment and clinical decision making'. CONCLUSION: No common structured approach towards assessment and diagnosis was identified. Lack of knowledge, perceived usefulness, access and cost were identified as barriers to adoption of new technology. Based on the information elicited a conceptual design of a future DDSS has been proposed. Work to develop a systematic approach to assessment, classification and diagnosis is now proposed. Trial Registraty This was not a clinical trial and so no clinical trial registry is needed.
https://eprints.bournemouth.ac.uk/36622/
Source: PubMed
Implications for the design of a Diagnostic Decision Support System (DDSS) to reduce time and cost to diagnosis in paediatric shoulder instability
Authors: Philp, F., Faux-Nightingale, A., Woolley, S., de Quincey, E. and Pandyan, A.
Journal: BMC MEDICAL INFORMATICS AND DECISION MAKING
Volume: 21
Issue: 1
eISSN: 1472-6947
DOI: 10.1186/s12911-021-01446-5
https://eprints.bournemouth.ac.uk/36622/
Source: Web of Science (Lite)
Implications for the design of a Diagnostic Decision Support System (DDSS) to reduce time and cost to diagnosis in paediatric shoulder instability.
Authors: Philp, F., Faux-Nightingale, A., Woolley, S., de Quincey, E. and Pandyan, A.
Journal: BMC medical informatics and decision making
Volume: 21
Issue: 1
Pages: 78
eISSN: 1472-6947
ISSN: 1472-6947
DOI: 10.1186/s12911-021-01446-5
Abstract:Background
Currently the diagnosis of shoulder instability, particularly in children, is difficult and can take time. These diagnostic delays can lead to poorer outcome and long-term complications. A Diagnostic Decision Support System (DDSS) has the potential to reduce time to diagnosis and improve outcomes for patients. The aim of this study was to develop a concept map for a future DDSS in shoulder instability.Methods
A modified nominal focus group technique, involving three clinical vignettes, was used to elicit physiotherapists decision-making processes.Results
Twenty-five physiotherapists, (18F:7 M) from four separate clinical sites participated. The themes identified related to 'Variability in diagnostic processes and lack of standardised practice' and 'Knowledge and attitudes towards novel technologies for facilitating assessment and clinical decision making'.Conclusion
No common structured approach towards assessment and diagnosis was identified. Lack of knowledge, perceived usefulness, access and cost were identified as barriers to adoption of new technology. Based on the information elicited a conceptual design of a future DDSS has been proposed. Work to develop a systematic approach to assessment, classification and diagnosis is now proposed. Trial Registraty This was not a clinical trial and so no clinical trial registry is needed.https://eprints.bournemouth.ac.uk/36622/
Source: Europe PubMed Central
Implications for the design of a Diagnostic Decision Support System (DDSS) to reduce time and cost to diagnosis in paediatric shoulder instability.
Authors: Philp, F., Faux-Nightingale, A., Woolley, S., de Quincey, E. and Pandyan, A.
Journal: BMC Medical Informatics and Decision Making
Volume: 21
ISSN: 1472-6947
Abstract:BACKGROUND: Currently the diagnosis of shoulder instability, particularly in children, is difficult and can take time. These diagnostic delays can lead to poorer outcome and long-term complications. A Diagnostic Decision Support System (DDSS) has the potential to reduce time to diagnosis and improve outcomes for patients. The aim of this study was to develop a concept map for a future DDSS in shoulder instability. METHODS: A modified nominal focus group technique, involving three clinical vignettes, was used to elicit physiotherapists decision-making processes. RESULTS: Twenty-five physiotherapists, (18F:7 M) from four separate clinical sites participated. The themes identified related to 'Variability in diagnostic processes and lack of standardised practice' and 'Knowledge and attitudes towards novel technologies for facilitating assessment and clinical decision making'. CONCLUSION: No common structured approach towards assessment and diagnosis was identified. Lack of knowledge, perceived usefulness, access and cost were identified as barriers to adoption of new technology. Based on the information elicited a conceptual design of a future DDSS has been proposed. Work to develop a systematic approach to assessment, classification and diagnosis is now proposed. Trial Registraty This was not a clinical trial and so no clinical trial registry is needed.
https://eprints.bournemouth.ac.uk/36622/
Source: BURO EPrints