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Predictive Models for Primary Caregivers: Risky Business?

Randolph A. Miller, MD
[+] Article and Author Information

Vanderbilt University Medical Center Nashville, TN 37232-8340 Grant Support: In part by grants 5-G08-LM-05443 and 1-R01-LM-06226 from the National Library of Medicine. Requests for Reprints: Randolph A. Miller, MD, Room 436, Eskind Library, 2209 Garland Avenue, Vanderbilt University Medical Center, Nashville, TN 37232-8340.


Copyright ©2004 by the American College of Physicians


Ann Intern Med. 1997;127(7):565-567. doi:10.7326/0003-4819-127-7-199710010-00008
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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” [12]. Practitioners who lose sight of their own clinical judgment when using a decision support tool, instead of seeing the tool as part of a balanced overall approach, do a disservice to themselves and their patients [3].

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