Clinical decision rules: how to use them

被引：3

作者：

Phillips, B. ^{[1
]}

机构：

[1] Univ York, Ctr Reviews & Disseminat, York YO10 5DD, N Yorkshire, England

来源：

ARCHIVES OF DISEASE IN CHILDHOOD-EDUCATION AND PRACTICE EDITION | 2010年 / 95卷 / 03期

关键词：

PRACTICE GUIDELINES; MEASUREMENT ERROR; DIAGNOSIS; IMPLEMENTATION; PREDICTION; IMPACT; TRIAL; METAANALYSIS; IMPROVEMENT; MANAGEMENT;

D O I：

10.1136/adc.2009.174458

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

The first of this pair of papers outlined what a clinical decision rule is and how one should be created. This section examines how to use a rule, by checking that it is likely to work (examining how it has been validated), understanding what the various numbers that tell us about "accuracy" mean, and considers some practical aspects of how clinicians think and work in order to make that information usable on the front lines.

引用

页码：88 / 92

页数：5

共 31 条

[1]

Altman D G., 1990, Practical Statistics for Medical Research, DOI [10.1201/9780429258589, DOI 10.1201/9780429258589]

[2] Practice Quality Improvement Report A multifaceted strategy for implementation of the Ottawa ankle rules in two emergency departments [J].

Bessen, Taryn ;

Clark, Robyn ;

Shakib, Sepehr ;

Hughes, Geoffrey .

BMJ-BRITISH MEDICAL JOURNAL, 2009, 339 :396-399

[3]

Bland J. M., 2000, INTRO MED STAT

[4] Measurement error and correlation coefficients [J].

Bland, JM ;

Altman, DG .

BRITISH MEDICAL JOURNAL, 1996, 313 (7048) :41-42

[5]

Bland JM, 1996, BRIT MED J, V313, P744

[6] Statistics notes: Measurement error proportional to the mean .23. [J].

Bland, JM ;

Altman, DG .

BRITISH MEDICAL JOURNAL, 1996, 313 (7049) :106-106

[7] Why don't physicians follow clinical practice guidelines? A framewouk for improvement [J].

Cabana, MD ;

Rand, CS ;

Powe, NR ;

Wu, AW ;

Wilson, MH ;

Abboud, PAC ;

Rubin, HR .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (15) :1458-1465

[8] CLINICAL VERSUS ACTUARIAL JUDGMENT [J].

DAWES, RM ;

FAUST, D ;

MEEHL, PE .

SCIENCE, 1989, 243 (4899) :1668-1674

[9]

DOYLE AC, 2007, ADVENTURES SHERLOCK

[10] Evidence base of clinical diagnosis - Clinical problem solving and diagnostic decision making: selective review of the cognitive literature [J].

Elstein, AS ;

Schwarz, A .

BRITISH MEDICAL JOURNAL, 2002, 324 (7339) :729-732

← 1 2 3 4 →