Improving the Quality of Patient Care by Using a Clinical Expert System.

2014-08-27 03:40:19 | BioPortfolio



To investigate the quality of history taking with or without an knowledge based interview system.


400 inpatients presenting at the RBK for the first time and treated in the departments of nephrology and department of hematology/oncology.


The information obtained either by an knowledge based system or by conventional history taking is compared by the patient, by the physician and by independent reviewers. Study endpoint is the percentage of histories missing clinically significant information.

Study procedure After informed consent of the patients the procedure of history taking is performed by the physician according to the guidelines of the RBK. Within 2 days thereafter the patient is interviewed with help of the CLEOS system with the support of a study nurse. The physician will be informed about the results immediately after completion of the questionnaire.

Both the patient and the treating physician will rate the comparative quality of the two histories by means of a questionnaire. In addition, the relevance of the differences of the information obtained by the two systems is rated by an independent reviewer.

Study Design

Allocation: Non-Randomized, Control: Uncontrolled, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Diagnostic




Computer-assisted history






Robert Bosch Gesellschaft für Medizinische Forschung mbH

Results (where available)

View Results


Published on BioPortfolio: 2014-08-27T03:40:19-0400

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