Clinical prediction rule
A clinical prediction rule or clinical probability assessment specifies how to use medical signs, symptoms, and other findings to estimate the probability of a specific disease or clinical outcome. Physicians have difficulty in estimated risks of diseases; frequently erring towards overestimation, perhaps due to cognitive biases such as base rate fallacy in which the risk of an adverse outcome is exaggerated. Methods
In a prediction rule study, investigators identify a consecutive group of patients who are suspected of having a specific disease or outcome. The investigators then obtain a standard set of clinical observations on each patient and a test or clinical follow-up to define the true state of the patient. They then use statistical methods to identify the best clinical predictors of the patient's true state. The probability of disease will depend on the patient's key clinical predictors. Published methodological standards specify good practices for developing a clinical prediction rule. A survey of methods concluded "the majority of prediction studies in high impact journals do not follow current methodological recommendations, limiting their reliability and applicability", confirming earlier findings from the diabetic literature

Effect on health outcomes
Few prediction rules have had the consequences of their usage by physicians  quantified. When studied, the impact of providing the information alone (for example, providing the calculated probability of disease) has been negative. However, when the prediction rule is implemented as part of a critical pathway, so that a hospital or clinic has procedures and policies established for how to manage patients identified as high or low risk of disease, the prediction rule has more impact on clinical outcomes. The more intensively the prediction rule is implemented the more benefit will occur. Examples of prediction rules
 Apache II
 CHADS2 for risk of stroke with atrial fibrillation 
 CURB-65
 Model for End-Stage Liver Disease
 Ranson criteria
 Centor criteria
 Pneumonia severity index
 Wells score (disambiguation)
 Orthopaedics
 Abbreviated Injury Scale
 Harris Hip Score
 Injury Severity Score
 Kocher criteria
 Mirel's Score
 NACA score
 Ottawa ankle rules
 Ottawa knee rules
 Pittsburgh knee rules
 Revised Trauma Score

References

External links
 Clinical Prediction Website
 Clinical prediction rules online calculators

Health informatics
Evidence-based medicine
Medical scoring system