Diagnostic informatics: the role of digital health in diagnostic stewardship and the achievement of excellence, safety, and value

Andrew Georgiou, Julie Li, Rae-Anne Hardie, Nasir Wabe, Andrea R. Horvath, Jeffrey J. Post, Alex Eigenstetter, Robert Lindeman, Que Lam, Tony Badrick, Christopher M. Pearce

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Abstract

Diagnostic investigations (pathology laboratory and medical imaging) aim to: increase certainty of the presence 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 can be defined as the collection, storage, retrieval, transmission, and utilization of data, information, and knowledge to support healthcare. Digital health has become an essential component of the diagnostic 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 (enabling 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 outcomes-based diagnostic research; (2) the safety and effectiveness of test result management and follow-up; and (3) digitally enhanced decision support systems.
Original languageEnglish
Article number659652
Pages (from-to)1-5
Number of pages5
JournalFrontiers in Digital Health
Volume3
DOIs
Publication statusPublished - 10 Jun 2021

Bibliographical note

Copyright the Author(s) 2021. 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.

Keywords

  • pathology
  • diagnostic error
  • outcomes based assessment
  • evaluation
  • safety
  • health informatics
  • decision support
  • test result follow-up

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