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Clinical calculators in hospital medicine: Availability, classification, and needs
Mikhail A Dziadzko1, Ognjen Gajic2, Brian W Pickering1
1Department of Anesthesiology, Mayo Clinic, Rochester, MN, USA.
Computer Methods and Programs in Biomedicine
|July 10, 2016
Summary
This study identified and classified 176 clinical calculators, finding 13 most useful for hospital clinicians. Most calculators require manual input and are used for adult patients in critical care or internal medicine.
Area of Science:
- Medical Informatics
- Clinical Decision Support
Background:
- Clinical calculators are vital tools in healthcare but face integration challenges with electronic health record (EHR) systems.
- Barriers include real-time calculation needs, user interaction, and data source requirements.
Purpose of the Study:
- To identify, classify, and evaluate the utility of available clinical calculators for hospital-based clinicians.
- To assess the current landscape of clinical calculator application in healthcare settings.
Main Methods:
- Searched online resources and aggregated medical information for available clinical calculators.
- Categorized calculators by clinical area, calculation mechanism, and purpose.
- Assessed calculator usage through online statistics and clinician feedback.
Main Results:
- Identified 176 clinical calculators across 4 categories, 6 specialties, and 40 subspecialties.
- Common calculation goals included prediction, severity assessment, risk estimation, diagnosis, and decision support.
- Summation logic with cutoffs/rules was the most frequent computation method.
- 13 calculators were identified as most utilized based on combined data.
Conclusions:
- 176 validated clinical calculators were identified, classified, and evaluated.
- The majority are designed for adult patients, primarily in critical care and internal medicine.
- 13 calculators were deemed useful for institutional application, all featuring manual input interfaces.
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