http://clinfowiki.org/wiki/index.php?title=Timeline_of_the_Development_of_Clinical_Decision_Support&feed=atom&action=historyTimeline of the Development of Clinical Decision Support - Revision history2024-03-29T08:12:16ZRevision history for this page on the wikiMediaWiki 1.22.4http://clinfowiki.org/wiki/index.php?title=Timeline_of_the_Development_of_Clinical_Decision_Support&diff=20947&oldid=prevAnnathehybrid at 21:25, 25 February 20152015-02-25T21:25:18Z<p></p>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>* 1972: The [[Health Evaluation through Logical Programming (HELP)]] system forms the basis of many research projects in clinical decision support, including the COMPAS ventilator management system by Dean Sittig and an antibiotic advisor by Scott Evans.</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>* 1972: The [[Health Evaluation through Logical Programming (HELP)]] system forms the basis of many research projects in clinical decision support, including the COMPAS ventilator management system by Dean Sittig and an antibiotic advisor by Scott Evans.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>* 1975: Ted Shortliffe of Stanford develops MYCIN, an expert system for antibiotic dosing. MYCIN consisted of three modules: a consultation system which collects information, applies the rules in its knowledge base, and recommends therapy; an explainer system, which explains these recommendations; and a rule acquisition syhstem, which an expert uses to build rules for the knowledge base. In early evaluation, Mycin suggested acceptable therapy 75% of the time, but it got better as more rules were added.</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>* 1975: Ted Shortliffe of Stanford develops MYCIN, an expert system for antibiotic dosing. MYCIN consisted of three modules: a consultation system which collects information, applies the rules in its knowledge base, and recommends therapy; an explainer system, which explains these recommendations; and a rule acquisition syhstem, which an expert uses to build rules for the knowledge base. In early evaluation, Mycin suggested acceptable therapy 75% of the time, but it got better as more rules were added.</div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">* 1976: [[PIP|Present Illness Program (PIP)]] system developed by Pauker and Gorry. It evaluated patients with edema.</ins></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>* 1976: Clem McDonald publishes "Protocol-based computer reminders, the quality of care and the non-perfectability of man", which looks at the clinical decision support suspten in the [[Regenstrief Medical Record System (RMRS)|Regenstrief Medical Record System]]. In an experimental trial, McDonald found that physicians responded to 51% of the alerts they received, but provided the corresponding care only 21% of the time when alerts were not provided.</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>* 1976: Clem McDonald publishes "Protocol-based computer reminders, the quality of care and the non-perfectability of man", which looks at the clinical decision support suspten in the [[Regenstrief Medical Record System (RMRS)|Regenstrief Medical Record System]]. In an experimental trial, McDonald found that physicians responded to 51% of the alerts they received, but provided the corresponding care only 21% of the time when alerts were not provided.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>* 1981: INTERNIST-I is developed by Randy Miller, Harry Pople and Jack Meyers. INTERNEST, a diagnostic decision support system, was the first decision support system to span all of internal medicine. Users would enter the findings for a case into INTERNIST, and the system would develop a differential diagnosis, and ask questions to improve this diffential. The system contained 500 disease profiles, and 3,550 clinical manifestations.</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>* 1981: INTERNIST-I is developed by Randy Miller, Harry Pople and Jack Meyers. INTERNEST, a diagnostic decision support system, was the first decision support system to span all of internal medicine. Users would enter the findings for a case into INTERNIST, and the system would develop a differential diagnosis, and ask questions to improve this diffential. The system contained 500 disease profiles, and 3,550 clinical manifestations.</div></td></tr>
</table>Annathehybridhttp://clinfowiki.org/wiki/index.php?title=Timeline_of_the_Development_of_Clinical_Decision_Support&diff=15740&oldid=prevNdgoldstein: moved History of clinical decision support to Timeline of the Development of Clinical Decision Support2012-11-24T13:37:48Z<p>moved <a href="/wiki/index.php/History_of_clinical_decision_support" class="mw-redirect" title="History of clinical decision support">History of clinical decision support</a> to <a href="/wiki/index.php/Timeline_of_the_Development_of_Clinical_Decision_Support" title="Timeline of the Development of Clinical Decision Support">Timeline of the Development of Clinical Decision Support</a></p>
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</td></tr></table>Ndgoldsteinhttp://clinfowiki.org/wiki/index.php?title=Timeline_of_the_Development_of_Clinical_Decision_Support&diff=14346&oldid=prevAnnathehybrid at 16:54, 25 January 20122012-01-25T16:54:57Z<p></p>
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<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 16:54, 25 January 2012</td>
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<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>This is a timeline of the early history of clinical decision support, from 1959 through 1993.</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>This is a timeline of the early history of <ins class="diffchange diffchange-inline">[[CDS|</ins>clinical decision support<ins class="diffchange diffchange-inline">]]</ins>, from 1959 through 1993.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>* 1959: [http://pir.georgetown.edu/nbrf/rslbio.html Ledley] and Lusted propose a mathematical model for diagnosis in their article "Reasoning foundations of medical diagnosis; symbolic logic, probability, and value theory aid our understanding of how physicians reason", published in Science. This article has been called the first work in medical informatics.</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>* 1959: [http://pir.georgetown.edu/nbrf/rslbio.html Ledley] and Lusted propose a mathematical model for diagnosis in their article "Reasoning foundations of medical diagnosis; symbolic logic, probability, and value theory aid our understanding of how physicians reason", published in Science. This article has been called the first work in medical informatics.</div></td></tr>
</table>Annathehybridhttp://clinfowiki.org/wiki/index.php?title=Timeline_of_the_Development_of_Clinical_Decision_Support&diff=14065&oldid=prevAnnathehybrid: Created page with "This is a timeline of the early history of clinical decision support, from 1959 through 1993. * 1959: [http://pir.georgetown.edu/nbrf/rslbio.html Ledley] and Lusted propose a ma..."2011-12-06T16:25:31Z<p>Created page with "This is a timeline of the early history of clinical decision support, from 1959 through 1993. * 1959: [http://pir.georgetown.edu/nbrf/rslbio.html Ledley] and Lusted propose a ma..."</p>
<p><b>New page</b></p><div>This is a timeline of the early history of clinical decision support, from 1959 through 1993.<br />
<br />
* 1959: [http://pir.georgetown.edu/nbrf/rslbio.html Ledley] and Lusted propose a mathematical model for diagnosis in their article "Reasoning foundations of medical diagnosis; symbolic logic, probability, and value theory aid our understanding of how physicians reason", published in Science. This article has been called the first work in medical informatics.<br />
* 1961: Homer Warner, of the University of Utah, develops a mathematical model for diagnosing congenital heart disease. Their approach uses a contingency table with diagnoses as rows and symptoms as columns. The system predicts the diagnosis with the highest conditional probability given a set of symptoms.<br />
* 1964: [http://ckp.kp.org/kpindepth/archive/indepth_road.html Morris Collen] of Kaiser develops a system for automated multiphasic diagnosis. Patients were given a stack of computer punch cards containing symptoms and questions, and they sorted them into Yes and No piles. A computer used these cards to develop a preliminary diagnosis.<br />
* 1969: Howard Bleich develops a system to suggest therapy for acid-base disorders. It is the first decision support system which proposes a management plan in addition to a diagnosis.<br />
* 1972: F.T. de Dombal builds a probabilistic model to diagnose abdominal complaints. The computer predicted the correct surgical diagnosis based on initial findings 91.8% of the time. On average, senior clinician predicted the diagnosis correctly 79.6% of the time.<br />
* 1972: The [[Health Evaluation through Logical Programming (HELP)]] system forms the basis of many research projects in clinical decision support, including the COMPAS ventilator management system by Dean Sittig and an antibiotic advisor by Scott Evans.<br />
* 1975: Ted Shortliffe of Stanford develops MYCIN, an expert system for antibiotic dosing. MYCIN consisted of three modules: a consultation system which collects information, applies the rules in its knowledge base, and recommends therapy; an explainer system, which explains these recommendations; and a rule acquisition syhstem, which an expert uses to build rules for the knowledge base. In early evaluation, Mycin suggested acceptable therapy 75% of the time, but it got better as more rules were added.<br />
* 1976: Clem McDonald publishes "Protocol-based computer reminders, the quality of care and the non-perfectability of man", which looks at the clinical decision support suspten in the [[Regenstrief Medical Record System (RMRS)|Regenstrief Medical Record System]]. In an experimental trial, McDonald found that physicians responded to 51% of the alerts they received, but provided the corresponding care only 21% of the time when alerts were not provided.<br />
* 1981: INTERNIST-I is developed by Randy Miller, Harry Pople and Jack Meyers. INTERNEST, a diagnostic decision support system, was the first decision support system to span all of internal medicine. Users would enter the findings for a case into INTERNIST, and the system would develop a differential diagnosis, and ask questions to improve this diffential. The system contained 500 disease profiles, and 3,550 clinical manifestations.<br />
* 1983: Perry Miller develops the ATTENDING system for anesthesia management. ATTENDING is the first medical [[Critiquing|critiquing system]].<br />
* 1987: Octo Barnett develps DXPlain, a diagnostic decision support system similar to INTERNIST. A web version of [http://www.lcs.mgh.harvard.edu/projects/dxplain.html DXPlain] is still available today.<br />
* 1993: Brigham and Women's Hospital releases [[Brigham Integrated Computing System (BICS)]], developed by Jonathan Teich.<br />
<br />
[[category:blogposium]]</div>Annathehybrid