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Developing a Taxonomy of Online Medical Calculators for Assessing Automatability and Clinical Efficiency Improvements
Tim A Green1, Chi-Ren Shyu1,2,3
1Informatics Institute, University of Missouri, Columbia, MO, USA.
Abstract:
Medical calculators play an important role as a component of specific clinical decision support systems that synthesize measurable evidence and can introduce new medical guidelines and standards. Understanding the features of calculators is important for calculator adoption and clinical acceptance. This paper presents a novel classification system for medical calculators. Metadata on 766 medical calculators implemented online were collected, analyzed, and categorized by their input types, method of presenting results, and advisory nature of those results. Reference rate, publication year, and availability of references were collected. We found the majority of calculators are likely not automatable. 16% of medical calculators present advisory results to clinicians. 83% of medical calculators provide references. We show a 9-year lag from publication to implementation of calculators. New medical calculators should be developed with EHR integration and the advisory nature of results in mind so that calculators may become integral to clinical workflow.
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