@inproceedings{eb0234cd71cf4be98a5512d5524f97d4,
title = "Assessing the safety of a new clinical decision support system for a national helpline",
abstract = "We assessed the safety of a new clinical decision support system (CDSS) for nurses on Australia's national consumer helpline. Accuracy and safety of triage advice was assessed by testing the CDSS using 78 standardised patient vignettes (48 published and 30 proprietary). Testing was undertaken in two cycles using the CDSS vendor's online evaluation tool (Cycle 1: 47 vignettes; Cycle 2: 41 vignettes). Safety equivalence was examined by testing the existing CDSS with the 47 vignettes from Cycle 1. The new CDSS triaged 66% of vignettes correctly compared to 57% by the existing CDSS. 15% of vignettes were overtriaged by the new CDSS compared to 28% by the existing CDSS. 19% of vignettes were undertriaged by the new CDSS compared to 15% by the existing CDSS. Overall performance of the new CDSS appears consistent and comparable with current studies. The new CDSS is at least as safe as the old CDSS.",
keywords = "Clinical decision support, consumer, evaluation, health self-management, patient safety, symptom checker, telephone triage",
author = "Nirvana Luckraj and Renee Strazzari and Enrico Coiera and Farah Magrabi",
note = "Copyright the International Medical Informatics Association (IMIA) and IOS Press 2024. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.; MEDINFO 2023 ; Conference date: 08-07-2023 Through 12-07-2023",
year = "2024",
month = jan,
day = "25",
doi = "10.3233/SHTI231018",
language = "English",
isbn = "9781643684567",
series = "Studies in Health Technology and Informatics",
publisher = "IOS Press",
pages = "514--518",
editor = "Jen Bichel-Findlay and Paula Otero and Philip Scott and Elaine Huesing",
booktitle = "MEDINFO 2023 - The future is accessible",
address = "Netherlands",
}