Maryland VA Healthcare System, 10 North Greene Street, Baltimore, MD, 21201, USA.
J Digit Imaging. 2018 Aug;31(4):379-382. doi: 10.1007/s10278-018-0057-z.
While uncertainty is ubiquitous in medical practice, minimal work to date has been performed to analyze the cause and effect relationship between uncertainty and patient outcomes. In medical imaging practice, uncertainty in the radiology report has been well documented to be a source of clinician dissatisfaction. Before one can effectively create intervention strategies aimed at reducing uncertainty, it must first be better understood through context- and user-specific analysis. One strategy for accomplishing this task is to characterize the source of uncertainty and create user-specific uncertainty profiles which take into account a number of provider-specific variables which may contribute to report uncertainty. The resulting data can in turn be used to create real-time report uncertainty metrics aimed at providing uncertainty analytics at the point of care, for the combined purposes of decision support, improved communication, and enhanced clinical/economic outcomes.
尽管医学实践中存在着普遍的不确定性,但迄今为止,很少有人致力于分析不确定性与患者结果之间的因果关系。在医学影像学实践中,放射科报告中的不确定性已被充分记录,是导致临床医生不满的一个原因。在能够有效地制定旨在减少不确定性的干预策略之前,必须首先通过特定于上下文和用户的分析来更好地理解不确定性。实现这一任务的一种策略是描述不确定性的来源,并创建特定于用户的不确定性档案,其中考虑了一些可能导致报告不确定性的提供者特定变量。由此产生的数据反过来可以用于创建实时报告不确定性指标,旨在在护理点提供不确定性分析,以达到决策支持、改善沟通和提高临床/经济结果的综合目的。