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We analysed the number of women who were clinically recalled for this period, if a clinical alert was entered on NBSS, the symptoms underlying the clinical recall, and the clinical outcome.
We examined the reporting of eligibility criteria in the protocol, methods paper (if applicable), journal article, and Clinical Alert for articles appearing in print between January 1988 and September 1994 for which a Clinical Alert had been issued.
Among the investigators surveyed, although 91% were aware of the Clinical Alert and 76% felt the findings were valid, >50% felt the Clinical Alert had limited or no impact on their personal or institution's care patterns.
Over the 4 years of the study, the Clinical Alert had no significant impact on the proportion of diabetic patients undergoing percutaneous revascularization (28.6% before versus 26.8% after the Clinical Alert; P=0.06).
The results from a large, randomized, clinical trial and subsequent Clinical Alert had no measurable impact on this practice variability.
Figure 1 shows an example of a clinical alert used in the study: VS chart (top) and low-dimensional projection recommended for adjudicating this alert by ML (below).
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Journal articles and Clinical Alerts fared somewhat worse: 63% of criteria were reported in journal articles, 19% in Clinical Alerts.
They are: presentations at scientific meetings; testimony before government agencies; clinical alerts issued by the National Institutes of Health; and urgent public health information.
Although levels of agreement on fetal heart rate features differed, agreements on clinical alerts were similar among all observers and a computerized fetal heart rate monitoring system.
Using synthetic data, DeepMind has built an app, Streams, which will provide clinical alerts about kidney injury, and it has used some real patient data to test the app (it turns out, unlawfully) and, since January, deploy it.
Structured medical knowledge in the form of clinical alerts or reminder rules, decision trees or tables, clinical protocols or practice guidelines, score algorithms, and others, constitute the core of CDSSs.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com