Su-Jung Liao, Lin-Jie Wang
Correlation of health literacy, health management self-efficacy, and attitude in elderly patients with schizophrenia: A cross-sectional study
Nursing open
computerised diagnostic decision support systems cdds suggesting differential diagnoses physicians aim improve clinical reasoning diagnostic quality however controlled clinical trials investigating effectiveness safety absent consequences use clinical practice unknown aim investigate effect cdds use emergency department ed diagnostic quality workflow resource consumption patient outcomes multicentre outcome assessor patientblinded clusterrandomised multiperiod crossover superiority trial validated differential diagnosis generator implemented four eds randomly allocated sequence six alternating intervention control periods intervention periods treating ed physician asked consult cdds least diagnostic workup control periods physicians access cdds diagnostic workup follow usual clinical care key inclusion criteria patients presentation ed either fever abdominal pain syncope nonspecific complaint chief complaint primary outcome binary diagnostic quality risk score composed presence unscheduled medical care discharge change diagnosis death time followup unexpected upscale care within 24 hours hospital admission time followup 14 days least 1184 patients included secondary outcomes include length hospital stay diagnostics data regarding cdds usage physicians confidence calibration diagnostic workflow statistical analysis use general linear mixed modelling methods approved cantonal ethics committee canton berne 2022d0002 swissmedic swiss national regulatory authority medical devices study results disseminated peerreviewed journals open repositories network investigators expert patients advisory board nct05346523