Using hindsight in medical decision making.

نویسنده

  • T A Russ
چکیده

As the clinical picture of a patient evolves over time, more information becomes available. Certain procedure require time to perform, causing delay between the time when the tests are ordered and when the results are available. Furthermore, as the patient's condition changes over time, serial measurements can be made. The availability of more data allows a more accurate assessment of the patient. Uncertainties, guesses or errors that were made early in the clinical course of patient care can also be identified and resolved when more information is available. Reasoning with a stream of data that changes over time presents a challenge to the designers of expert systems. The use of hindsight in expert system requires that appropriate attention be paid to the temporal relations of the data and that care is exercised in revising decision. I present a data-dependency system, the Temporal Control Structure (TCS), designed to support reasoning with data changing over time and show how it can be used to implement reasoning by hindsight.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Investment Decision-Making and Hindsight Bias

We investigated the relationships between investment decision making and hindsight bias. Economic studies consider the agent’s foresight perspective only, without taking into account the hindsight bias possible effects in the decision-making process. We studied the subject’s overall perceived error by focusing on the causal relations between the estimate and memory errors and by analysing his c...

متن کامل

Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight?

OBJECTIVE The authors examined whether physicians' use of computerized decision aids affects patient satisfaction and/or blame for medical outcomes. METHOD Experiment 1: Fifty-nine undergraduates read about a doctor who made either a correct or incorrect diagnosis and either used a decision aid or did not. All rated the quality of the doctor's decision and the likelihood of recommending the d...

متن کامل

[The endless bonds and the challenges to medicine].

This paper summons to contest some of the bonds that will be severed, probably, by the new eugenics, and may be repaired by narrative-based medicine, two of the most extreme and contradictory challenges to today's--and tomorrow's--medical practice. Accordingly, I intend to frame its development into the unbounded mathesis of biomedicine with the hindsight intention of questioning the foundation...

متن کامل

The Mediating Effect of Self-leadership Between Metacognition And Management Accountants' Decision making

In order to survive in an ever-changing world, companies need empowered employees. Therefore, management accountants' empowerment is an important issue, especially in underdeveloped countries. Management accounting tools that are used in Iran are not suitable for companies' strategies with regard to management accounting knowledge development.  On the other hand,  keeping up with management acc...

متن کامل

Correlation between Thinking Styles with Clinical Decision Making among Nurses Working in Educational Hospitals Affiliated to Tabriz University of Medical Sciences

Background and Objectives: Considering the importance of thinking styles in individuals' decision making, this study was conducted to investigate the correlation between thinking styles with clinical decision making among nurses working in educational hospitals affiliated to Tabriz University of Medical Sciences. Materials and Methods: In this descriptive–correlational study, 196 nurses w...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Computer methods and programs in biomedicine

دوره 32 1  شماره 

صفحات  -

تاریخ انتشار 1990