Diagnoses supported by a computerised diagnostic decision support system versus conventional diagnoses in emergency patients (DDX-BRO): a multicentre, multiple-period, double-blind, cluster-randomised, crossover superiority trial

Study Overview

This study compares diagnoses made with a computerized diagnostic decision support system (CDDSS) to traditional diagnoses in emergency patients. It was conducted in multiple emergency departments in Switzerland.

Key Points

  • Purpose: To determine if CDDSS improves diagnostic accuracy in emergency settings.
  • Participants: 1,204 adults with specific symptoms were included in the study.
  • Method: Patients were randomly assigned to receive either CDDSS-supported diagnoses or standard care.
  • Outcome Measurement: The main focus was on the risk of diagnostic errors within 14 days.

Findings

Out of the patients diagnosed with CDDSS, 18% faced diagnostic quality risks, similar to the 18% in the standard care group. Serious adverse events were low and unrelated to the study.

Conclusion

The use of CDDSS did not significantly improve diagnostic accuracy compared to usual methods. Future studies should explore how to enhance CDDSS effectiveness in specific situations.

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