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AMIA Annu Symp Proc · Nov 2008
Medical exceptions to decision support: a tool to identify provider misconceptions and direct academic detailing.
- Stephen D Persell, Nancy C Dolan, and David W Baker.
- Division of General Internal Medicine, Feinberg School of Medicine, USA.
- AMIA Annu Symp Proc. 2008 Nov 6: 1090.
AbstractClinical decision support can be used to capture the medical exceptions that justify deviations from guideline-based care. Peer review of this data is a potentially valuable and efficient means of identifying physician misconceptions or gaps in the medical knowledge base. Our early experience performing peer review on medical exceptions recorded through computerized point-of-care alerts shows that most medical exceptions were legitimate. Twelve percent of exceptions were inappropriate and 10% involved areas of considerable medical uncertainty.
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