Implications for the design of a Diagnostic Decision Support System (DDSS) to reduce time and cost to diagnosis in paediatric shoulder instability

Philp, Fraser ORCID: 0000-0002-8552-7869, Faux-Nightingale, Alice, Woolley, Sandra, de Quincey, Ed and Pandyan, Anand (2021) Implications for the design of a Diagnostic Decision Support System (DDSS) to reduce time and cost to diagnosis in paediatric shoulder instability. BMC MEDICAL INFORMATICS AND DECISION MAKING, 21 (1). 78-.

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Official URL: http://dx.doi.org/10.1186/s12911-021-01446-5

Abstract

<h4>Background</h4>Currently the diagnosis of shoulder instability, particularly in children, is difficult and can take time. These diagnostic delays can lead to poorer outcome and long-term complications. A Diagnostic Decision Support System (DDSS) has the potential to reduce time to diagnosis and improve outcomes for patients. The aim of this study was to develop a concept map for a future DDSS in shoulder instability.<h4>Methods</h4>A modified nominal focus group technique, involving three clinical vignettes, was used to elicit physiotherapists decision-making processes.<h4>Results</h4>Twenty-five physiotherapists, (18F:7 M) from four separate clinical sites participated. The themes identified related to 'Variability in diagnostic processes and lack of standardised practice' and 'Knowledge and attitudes towards novel technologies for facilitating assessment and clinical decision making'.<h4>Conclusion</h4>No common structured approach towards assessment and diagnosis was identified. Lack of knowledge, perceived usefulness, access and cost were identified as barriers to adoption of new technology. Based on the information elicited a conceptual design of a future DDSS has been proposed. Work to develop a systematic approach to assessment, classification and diagnosis is now proposed. Trial Registraty This was not a clinical trial and so no clinical trial registry is needed.

Item Type:	Article
Uncontrolled Keywords:	Physiotherapy, Shoulder instability, User centred design, Clinical decision support system, Paediatrics
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health Faculty of Health and Life Sciences > Institute of Population Health > School of Health Sciences
Depositing User:	Symplectic Admin
Date Deposited:	11 Jul 2022 13:56
Last Modified:	18 Jan 2023 21:10
DOI:	10.1186/s12911-021-01446-5
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3151162