Journal:Diagnostic informatics: The role of digital health in diagnostic stewardship and the achievement of excellence, safety, and value
| Full article title | Diagnostic informatics: The role of digital health in diagnostic stewardship and the achievement of excellence, safety, and value |
|---|---|
| Journal | Frontiers in Digital Health |
| Author(s) | Georgiou, Andrew; Li, Julie; Hardie, Rae-Anne; Wabe, Nasir; Horvath, Andrea R.; Post, Jeffrey J.; Eigenstetter, Alex; Lindeman, Robert; Lam, Que; Badrick, Tony; Pearce, Christopher |
| Author affiliation(s) | Macquarie University, Prince of Wales Hospital, University of New South Wales, New South Wales Health Pathology, Austin Health, Royal College of Pathologists of Australasia, Outcome Health, Monash University |
| Primary contact | Email: andrew dot georgiou at mq dot edu dot au |
| Editors | Chapman, Wendy |
| Year published | 2021 |
| Volume and issue | 3 |
| Article # | 659652 |
| DOI | 10.3389/fdgth.2021.659652 |
| ISSN | 2673-253X |
| Distribution license | Creative Commons Attribution 4.0 International |
| Website | https://www.frontiersin.org/articles/10.3389/fdgth.2021.659652/full |
| Download | https://www.frontiersin.org/articles/10.3389/fdgth.2021.659652/pdf (PDF) |
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Abstract
Diagnostic investigations (i.e., pathology laboratory analysis and medical imaging) aim to increase the certainty of the presence of 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—defined as the collection, storage, retrieval, transmission, and utilization of data, information, and knowledge to support healthcare—has become an essential component of the diagnostic investigational 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 (which enable 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 outcome-based diagnostic research, (2) the safety and effectiveness of test result management and follow-up, and (3) digitally enhanced decision support systems.
Keywords: pathology, diagnostic error, outcomes based assessment, evaluation, safety, health informatics, decision support, test result follow-up
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This presentation is faithful to the original, with only a few minor changes to presentation, though grammar and word usage was substantially updated for improved readability. In some cases important information was missing from the references, and that information was added.
