Journal of Medical Systems

, Volume 9, Issue 5, pp 379–388

Evaluating RECONSIDER

A computer program for diagnostic prompting

Authors

  • Stuart J. Nelson
    • From the Department of Internal MedicineState University of New York
    • the Section on Medical Information ScienceUniversity of California
    • the Computer Science DivisionUniversity of California
    • Zentrum der Medizinischen InformatikKlinikum der Johannes Wolfgang Goethe Universitaet
  • Marsden S. Blois
    • From the Department of Internal MedicineState University of New York
    • the Section on Medical Information ScienceUniversity of California
    • the Computer Science DivisionUniversity of California
    • Zentrum der Medizinischen InformatikKlinikum der Johannes Wolfgang Goethe Universitaet
  • Mark S. Tuttle
    • From the Department of Internal MedicineState University of New York
    • the Section on Medical Information ScienceUniversity of California
    • the Computer Science DivisionUniversity of California
    • Zentrum der Medizinischen InformatikKlinikum der Johannes Wolfgang Goethe Universitaet
  • Mark Erlbaum
    • From the Department of Internal MedicineState University of New York
    • the Section on Medical Information ScienceUniversity of California
    • the Computer Science DivisionUniversity of California
    • Zentrum der Medizinischen InformatikKlinikum der Johannes Wolfgang Goethe Universitaet
  • Peter Harrison
    • From the Department of Internal MedicineState University of New York
    • the Section on Medical Information ScienceUniversity of California
    • the Computer Science DivisionUniversity of California
    • Zentrum der Medizinischen InformatikKlinikum der Johannes Wolfgang Goethe Universitaet
  • Hyo Kim
    • From the Department of Internal MedicineState University of New York
    • the Section on Medical Information ScienceUniversity of California
    • the Computer Science DivisionUniversity of California
    • Zentrum der Medizinischen InformatikKlinikum der Johannes Wolfgang Goethe Universitaet
  • Bernhard Winkelmann
    • From the Department of Internal MedicineState University of New York
    • the Section on Medical Information ScienceUniversity of California
    • the Computer Science DivisionUniversity of California
    • Zentrum der Medizinischen InformatikKlinikum der Johannes Wolfgang Goethe Universitaet
  • Dale Yamashita
    • From the Department of Internal MedicineState University of New York
    • the Section on Medical Information ScienceUniversity of California
    • the Computer Science DivisionUniversity of California
    • Zentrum der Medizinischen InformatikKlinikum der Johannes Wolfgang Goethe Universitaet
Articles

DOI: 10.1007/BF00992575

Cite this article as:
Nelson, S.J., Blois, M.S., Tuttle, M.S. et al. J Med Syst (1985) 9: 379. doi:10.1007/BF00992575

Abstract

RECONSIDER, a computer program designed to perform as a diagnostic prompting aid, was evaluated for its ability to include the correct diagnosis in an ordered computed list of candidate diseases. The study was performed using 100 consecutive first admissions to the medical service of a university hospital, where the individuals entering the data into the program were blind to all but a limited set of findings known at time of admission. Each person entering the data created one or more lists of diagnostic possibilities (versions) using the program. The program suggested the correct diagnosis within the first 40 on its list 61% (498/797) of the time; the correct diagnosis was present with the first 40 in at least one version 93% (98/105) of the time. Performance was found to be best with cases having a single diagnosis and when more terms were entered into the program.

Copyright information

© Plenum Publishing Corporation 1985