Predictive Models for Primary Caregivers: Risky Business?
Authors: Randolph A. Miller
Journal: Annals of Internal Medicine (1997)

Editorials1 October 1997Predictive Models for Primary Caregivers: Risky Business?Randolph A. Miller, MDRandolph A. Miller, MDVanderbilt University Medical Center Nashville, TN 37232-8340Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-127-7-199710010-00008 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail By informing the opinions of health care providers, future decision support systems will improve clinical practice. Yet many practitioners still approach technologically based tools with unquestioning awe rather than by trying to understand the mechanisms, applicability, and limitations of the tools. The key question in evaluating computer-based decision support tools is whether those tools can augment the native abilities of health care providers during clinical practice, not how they function in isolation as “omniscient oracles” [1, 2]. Practitioners who lose sight of their own clinical judgment when using a decision support tool, instead of seeing the tool as part of ...References1. Miller RA, Masarie FE Jr. The demise of the “Greek Oracle” model for medical diagnostic systems. Methods Inf Med. 1990; 29:1-2. Google Scholar2. Miller RA. Evaluating evaluations of medical diagnostic systems [Editorial]. J Am Med Inform Assoc. 1996; 3:429-31. Google Scholar3. Miller RA. Why the standard view is standard: people, not machines, understand patients' problems. J Med Philos. 1990; 15:581-91. Google Scholar4. Selker HP, Griffith JL, Beshansky JR, Schmid CH, Califf RM, D'Agostino RB, et al. Patient-specific predictions of outcomes in myocardial infarction for real-time emergency use: a thrombolytic predictive instrument. Ann Intern Med. 1997; 127:538-56. Google Scholar5. Osheroff JA, Forsythe DE, Buchanan BG, Bankowitz RA, Blumenfeld BH, Miller RA. 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[In press] Google Scholar Author, Article, and Disclosure InformationAffiliations: Vanderbilt University Medical Center Nashville, TN 37232-8340Grant Support: In part by grants 5-G08-LM-05443 and 1-R01-LM-06226 from the National Library of Medicine.Corresponding Author: Randolph A. Miller, MD, Room 436, Eskind Library, 2209 Garland Avenue, Vanderbilt University Medical Center, Nashville, TN 37232-8340. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPatient-Specific Predictions of Outcomes in Myocardial Infarction for Real-Time Emergency Use: A Thrombolytic Predictive Instrument Harry P. Selker , John L. Griffith , Joni R. Beshansky , Christopher H. Schmid , Robert M. Califf , Ralph B. D'Agostino , Michael M. Laks , Kerry L. Lee , Charles Maynard , Ronald H. Selvester , Galen S. Wagner , and W. Douglas Weaver Metrics Cited ByEthics in Biomedical and Health Informatics: Users, Standards, and OutcomesPrognostic models will be victims of their own success, unless…Ethics in Biomedical and Health Informatics: Users, Standards, and Outcomes 1 October 1997Volume 127, Issue 7Page: 565-567KeywordsAcute myocardial infarctionClinical decision support systemsClinical trialsCoronary arteriesElectrocardiographyEndocarditisForecastingHealth care providersVasculitisWegener granulomatosis Issue Published: 1 October 1997 CopyrightCopyright © 1997 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...