Evaluation of an Internet delivered pediatric diagnosis support system (ISABEL) in a tertiary care center in India

• HIT Description: decision support More info...
  
• Purpose of Study: Evaluate the sensitivity of ISABEL, a computerized differential diagnosis decision support system , in a tertiary care hospital in India, where children may suffer from different ailments than in the UK
  
• Years of study: 2000-2002
  
• Study Design: other predictive analysis
  
• Outcomes: impact on health care effectiveness and quality
  

• Settings: patients admitted to the pediatric intensive care unit in an 1800 bed tertiary care hospital in India
• Intervention: 2nd and 3rd year residents reviewed charts of patients and wrote down important information regarding initial presentation which was subsequently entered into the tool by one of the investigators. Another investigator reviewed the charts of the patients to determine the final diagnosis
• Evaluation Method: compared the final diagnosis from chart review with the list of diseases and disorders generated by ISABEL
• Description: internet-based computerized differential diagnosis tool who search engine matches patterns within the unformatted text entered by the user with text from standard pediatric textbooks contained in the ISABEL database
• Quality of Care and Patient Safety Outcome: The sensitivity of ISABEL in diagnosing different conditions varied and was >80% for infections and diseases of the cardiovascular a nd nervous systems. However, sensitivity was low for conditions such as renal failure and other miscellaneous disorders