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Title: Diagnostic Informatics-The Role of Digital Health in Diagnostic Stewardship and the Achievement of Excellence, Safety, and Value.
Austin Authors: Georgiou, Andrew;Li, Julie;Hardie, Rae-Anne;Wabe, Nasir;Horvath, Andrea R;Post, Jeffrey J;Eigenstetter, Alex;Lindeman, Robert;Lam, Que T ;Badrick, Tony;Pearce, Christopher
Affiliation: Department of General Practice, Monash University, Clayton, VIC, Australia
Royal College of Pathologists of Australasia Quality Assurance Programs, St Leonards, NSW, Australia
Prince of Wales Clinical School, University of New South Wales, Kensington, NSW, Australia
Department of Infectious Diseases, Prince of Wales Hospital and Community Health Services, Randwick, NSW, Australia
Outcome Health, Blackburn, VIC, Australia
Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia
New South Wales (NSW) Health Pathology, Department of Clinical Chemistry and Endocrinology, Prince of Wales Hospital, Sydney, NSW, Australia
New South Wales (NSW) Health Pathology, Chatswood, NSW, Australia
Issue Date: 10-Jun-2021
Date: 2021
Publication information: Frontiers in Digital Health 2021; 3: 659652
Abstract: Diagnostic investigations (pathology laboratory and medical imaging) aim to: increase certainty of the presence or absence of disease by supporting the process of differential diagnosis; support clinical management; and monitor a patient's trajectory (e. g., disease progression or response to treatment). Digital health can be defined as the collection, storage, retrieval, transmission, and utilization of data, information, and knowledge to support healthcare. Digital health has become an essential component of the diagnostic process, helping to facilitate the accuracy and timeliness of information transfer and enhance the effectiveness of decision-making processes. Digital health is also important to diagnostic stewardship, which involves coordinated guidance and interventions to ensure the appropriate utilization of diagnostic tests for therapeutic decision-making. Diagnostic stewardship and informatics are thus important in efforts to establish shared decision-making. This is because they contribute to the establishment of shared information platforms (enabling patients to read, comment on, and share in decisions about their care) based on timely and meaningful communication. This paper will outline key diagnostic informatics and stewardship initiatives across three interrelated fields: (1) diagnostic error and the establishment of outcomes-based diagnostic research; (2) the safety and effectiveness of test result management and follow-up; and (3) digitally enhanced decision support systems.
DOI: 10.3389/fdgth.2021.659652
Journal: Frontiers in Digital Health
PubMed URL: 34713132
Type: Journal Article
Subjects: decision support
diagnostic error
health informatics
outcomes based assessment
test result follow-up
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