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2. Magistritööd

Selle kollektsiooni püsiv URIhttp://hdl.handle.net/10492/2498

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Sirvi 2. Magistritööd Märksõna "AI" järgi

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    The clinical decision-making process and the potential impact of the GekkoVet clinical decision support system on diagnostics in veterinary medicine
    (Eesti Maaülikool, 2023) Heino, Olli Jetro Juhani; Karindi, Martin
    Clinical decision-making is a multidimensional process, and factors common to any kind of human decision-making cause biases. Errors in clinical decision-making are common and significantly impact individuals and society. In veterinary medicine, as in human medicine, an increased amount of clinical data and information has created a need for clinical decision support systems (CDSS). In this study, was evaluated veterinarians’ ability to build differential diagnosis lists in four real-life internal medicine cases. In each case additional information about the patient was provided in three phases. Forty-seven licensed veterinarians completed the survey. In the CASE 4 over 90% found the correct diagnosis. Seventy-seven percent of the respondents answered correctly for CASE 2, while lower scores were in CASE 1 and CASE 3, with 47% and 55% of respondents providing correct diagnoses, respectively. GekkoVet CDSS got all four cases correctly diagnosed in the last phase of the case (respondent average: 2.7). In total, GekkoVet scored 8 out of 12 possible right answers, whereas 6.19 was the average score among respondents. Those respondents who used external help did spend more time (p-value 0.034) to complete the questionnaire. It is notable that using external sources and more time did not significantly improve respondents’ result. Experience as a practicing veterinarian did not influence the average number of diagnoses, the amount of time spent to complete the survey or the number of correct diagnoses at a statistically significant level. Based on this study and literature published previously, CDSSs have the potential to reduce clinicians’ workloads and help them make more diagnoses faster and with greater confidence. Along with potentially increased clinical performance, CDSSs might reduce the burden veterinarians experience from clients and employers. Certain cautions and limitations should be considered when implementing CDSSs for clinical use.