F. Timothy de Dombal
(영국 의사, ~1995)
....... 영국에서는 F. Timothy de Dombal 이 <Diagnosis of Acute Abdominal Pain>(급성 복통의 감별진단) 이라는 컴퓨터 프로그램을 1960년대 말에 개발하여 급성 복통의 응급실 감별진단용으로 사용했다. .....
Computer-Aided Decision Support (CADSS) in AAP began in Leeds, in the Professorial Surgical Unit and the Accident & Emergency Dept, at the General Infirmary in the early 1970's. The instigator (visionary or madman, depending on your attitude to computers way back then) was Professor Tim de Dombal.
In the initial studies a computer system (based on a Bayesian analysis of patients' symptoms and signs) outperformed clinicians. However, the clinicians' own diagnostic accuracy improved whilst using the system. Decision making also improved, shown by a fall in the negative laparotomy and perforated appendicectomy rates (1,2,3).
In the late 1970's the system was transferred to an Accident and Emergency Dept, the database increased to include more disease sites, particularly gynaecology causes for AAP and over a 13 month study period similar results were found ...........
site :
Acute Abdominal Pain (AAP) : Computer Aided Decision Support in Acute Abdominal Pain : Key References
paper :