II. Indications

  1. Risk stratification for the evaluation and management of presentations with risk of poor outcome
  2. Limit testing that would otherwise risk adverse effects (e.g. radiation exposure)
  3. Standardize the approach to common conditions (esp. for those with less experience)
  4. Checklist documentation to prevent errors

III. Precautions: Pitfalls

  1. Clinical Decision Rules may be misapplied
  2. Use decision rules that have been prospectively validated, refined and used in clinical practice
  3. Decision rules should have high Test Sensitivity
    1. However, this is at the expense of Test Specificity with a high rate of False Positive tests
    2. Use clinical gestalt when interpreting the results of Clinical Decision Rules
  4. Many decision rules have a subjective component (e.g. Wells Score "PE more likely than alternatives")
  5. Avoid applying the decision tool to patients outside the population studied
    1. Be aware of the study inclusion and exclusion criteria
  6. Avoid mashing multiple decision tools together
    1. Use each decision tool individually, in the way it was validated
    2. Be cautious when applying 2 decision rules, each directing a different approach

V. References

  1. Mason, Grock, Carmelli in Herbert (2018) 18(6): EM:Rap 12-3

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Ontology: Decision Support Techniques (C0011113)

Definition (MSH) Mathematical or statistical procedures used as aids in making a decision. They are frequently used in medical decision-making.
Concepts Intellectual Product (T170)
MSH D003661
English Decision Support Technic, Decision Support Technics, Decision Support Technique, Decision Support Techniques, Technic, Decision Support, Technics, Decision Support, Technique, Decision Support, Techniques, Decision Support
Swedish Beslutsstödstekniker
Finnish Päätöksentukimenetelmät
Russian RESHENII PRINIATIIA TEKHNOLOGIIA, METODY PRINIATIIA RESHENII, PRINIATIE RESHENII, ANALIZ, RESHENII STATISTICHESKII ANALIZ, PRINIATIE RESHENII, TEKHNOLOGIIA, МЕТОДЫ ПРИНЯТИЯ РЕШЕНИЙ, ПРИНЯТИЕ РЕШЕНИЙ, АНАЛИЗ, ПРИНЯТИЕ РЕШЕНИЙ, ТЕХНОЛОГИЯ, РЕШЕНИЙ ПРИНЯТИЯ ТЕХНОЛОГИЯ, РЕШЕНИЙ СТАТИСТИЧЕСКИЙ АНАЛИЗ
Japanese 意思決定支援技法, ディシジョンモデリング, モデル-意思決定支援, 意思決定支援モデル, 意思決定分析, 決定分析
French Techniques d'aide à la décision, Technologie d'aide à la prise de décision, Technologie d'aide à la décision, Techniques d'aide à la prise de décision
Italian Tecnica di supporto decisionale, Tecniche di supporto decisionale
Croatian ODLUČIVANJE, TEHNIKE POTPORE
Polish Modelowanie decyzyjne, Metody wsparcia decyzji, Metody wspomagania decyzji, Analiza decyzyjna
Czech rozhodování - techniky pomocné, metody pro podporu rozhodování, metody na podporu rozhodování
Norwegian Beslutningsstøtteteknikker
Spanish Técnicas de Apoyo a la Toma de Decisiones, Técnicas de Apoyo para la Decisión
Portuguese Técnicas de Apoio à Decisão, Modelos de Apoio à Decisão, Técnicas de Apoio para a Decisão
German Entscheidungsunterstützende Techniken
Dutch Beslissingsondersteunende techniek, Beslissingsondersteunende technieken

Ontology: Decision Aids (C0086104)

Concepts Intellectual Product (T170)
MSH D003661
English Aid, Decision, Aids, Decision, Decision Aid, decision aids, decision aid, Decision Aids
French Supports à la décision, Aides à la décision
Italian Presa di decisione
Norwegian Beslutningshjelpemidler

Ontology: Clinical Prediction Rule (C3179496)

Definition (MSH) Use of a combination of multiple tests, both with positive and negative results, to arrive at a course of action.
Concepts Intellectual Product (T170)
MSH D003661
English Prediction Rule, Clinical, Clinical Prediction Rule, Prediction Rules, Clinical, Rule, Clinical Prediction, Rules, Clinical Prediction, Clinical Prediction Rules
Italian Regola di predizione clinica
Norwegian Klinisk prediksjonsregel