Studying clinical decision making using PROforma and clinical vignettes

Timely diagnosis and management of age-related eye disorder is important to prevent further deterioration of eye sight. Clinical management guidelines have been developed to help guide the clinicians on evidence based diagnosis and management options and help improve decision making and reduce errors. However, the clinical guidelines are not patient specific and sometime too complex to implement in daily practice. Guideline based CDSS tools help provide guideline based patient specific recommendations to the clinician. Here the impact of guideline based CDSS tools on diagnostic decision making of community optometrists was studied. Clinical vignettes were used to simulate realistic clinical encounters. Diagnostic and management recommendations were provided to the optometrists. The clinical decisions made by the optometrists were then compared to a control group of optometrists who were given the same vignettes and asked to provide diagnosis and management decisions. 

The vignettes included in this study involved diagnosing and managing Normal, Wet Age-related macular degeneration (Wet AMD), Ocular Hypertension (OHT) and Normal Tension Glaucoma (NTG) scenarios.

They accessed by clicking the following links:

Ocular Hypertension (OHT)

Normal Tension Glaucoma (NTG)

Wet Age-related macular degeneration (Wet AMD)


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