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Peer reviewed articles

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  Ames FR, Palazzolo EW , Schwartz BD and Schmid K. Evaluation of first-year medical student use of a diagnostic decision- making resource. Rocky Vista University College of Osteopathic Medicine Health Sciences Library. Oct 2014.
  Riches N, Panagioti M, Alam R, Bower P, Campbell S and Cheraghi-Sohi S. Differential diagnosis generators: A systematic review of their efficacy. NIHR Greater Manchester Primary Care Patient Safety Translational Research Centre, Institute of Population Health, The University of Manchester, UK. Sept 2014.
  Carríon LA, Lora JS, Pérez CL and Val JA. Diagnostic accuracy and concordance between clinicians and Isabel Healthcare: A prospective pilot study. Department of General Internal Medicine Clínico in Málaga. Sept 2013.
  Carlson J, Tomkowiak J, Morrison J and Rheault W. Does collaboration lead to fewer diagnostic errors? Rosalind Franklin University of Medicine and Science. June 2013.
  Manicone P, Stewart C, Kern J and Ottolini M. “Asking Isabel” For diagnostic dilemmas in pediatrics: How does a web based diagnostic checklist perform? PAS, Feb 2013.
  Manicone PE, Kern J, Stewart C, Ottolini K and Ottolini M. Diagnostic dilemmas in pediatrics: how does a web based diagnostic checklist perform? DEM, Oct 2011.
  Carlson J, Eulenberg B, Anzur T, Abel M, Bridges D and Tomkowiak J. The Influence of a diagnostic reminder system on clinical reasoning during simulated encounters. Simulated Healthcare, 2011 Feb;6(1):11-7.


  Bond WF, Schwartz LM, Weaver KR, Levick D, Giuliano M and Graber ML. A Qualitative Review of Differential Diagnosis Generators. DEM, Oct 2010.
  A recent comparative study of diagnosis generator tools reviewed Isabel Healthcare, and the findings show the strength and usability of the tool compared to others in its class. Dr. William Bond and team from Lehigh Valley Health Network evaluated Isabel and other Differential Diagnosis Generators in a poster recently presented at the recent Diagnosis Errors in Medicine conference.
  Maude J, Ramnarayan P and Tomlinson A. The Impact of a Web Based Diagnosis Checklist System on Specialist Referrals from Primary Care: Results of a Survey of General Practitioners. DEM, Oct 2010.


  Knight NB. The Impact on Users of a Web Based Diagnosis Decision Support System. DEM, Oct 2010.


  Maude, J. Ask the Expert: Diagnostic Decision Support. QuantiaMD. Dec 2012.
  John RM, Del Re G, Jeon C and Bakken S. Use of Isabel Decision Support to Improve Diagnostic Accuracy Among Pediatric Nurse Practitioner (PNP) Students. Columbia University of Nursing, NY. Oct 21, 2012.

Peer reviewed articles cited in Pubmed
  Riches N, Panagioti M, Alam R, Cheraghi-Sohi S, Campbell S, Esmail A, et al. (2016) The Effectiveness of Electronic Differential Diagnoses(DDX) Generators: A Systematic Review and Meta-Analysis. PLoS ONE 11(3): e0148991. doi:10.1371/journal.pone.0148991
  Graber M, Wachter R, Cassel C. Bringing Diagnosis Into the Quality and Safety Equations.  JAMA 2012, 208(12):1211-1212.
  Vardell E and Moore M. Isabel, a clinical decision support system.  Med Ref Serv Q. 2011; 30(2):158-66.
  Carlson J, Abel M, Bridges D and Tomkowiak J. The Impact of a Diagnostic Reminder System on Student Clinical Reasoning During Simulated Case Studies. Simul Healthc. 2011; 6(1):11-17.
  Mack EH, Wheeler DS and Embi PJ. Clinical decision support systems in the pediatric intensive care unit. Pediatr Crit Care Med. 2009; 10 (1):23-28.
  Graber ML, Tompkins D, Holland JJ. Resources medical students use to derive a differential diagnosis. Medical Teacher. 2009, 31(6): 522 - 527.
  Thomas NJ, Ramnarayan P, Bell MJ, Maheshwari P, Wilson S, Nazarian EB, Phipps LM, Stockwell DC, Engel M, Maffei FA, Vyas HG, Britto J. An international assessment of a web-based diagnostic tool in critically ill children. Technol Health Care.  2008;16(2):103-10


Key medical/nursing articles by the Isabel team
  Diagnostic Errors and ISABEL: A Web-Based Diagnostic Reminder System.
University of New Hampshire
March 2009
  Janice Vaughn MSN, RN, CNL .  

  An International Assessment of a Web-based Diagnostic Tool in Critically Ill Children
Technology and Health Care
  Neal J Thomas, MD .  

  Decision Support Systems: A How-To Guide to Their Evaluation
J Int Care Med
June 2005
  Ramnarayan P, Britto J .  

Computerized Support for Diagnostic Decisions in the Intensive Care Unit J Int Care Med
Jan 2005
  Ramnarayan P, Britto J .  

ISABEL: a novel Internet-delivered clinical decision support system
Healthcare Computing

March 2004
  P Ramnarayan, G Kulkarni, A Tomlinson, J Britto .  

  Clinical Risk: Isabel: a novel approach to the reduction of medical error. Clinical Risk

Jan 2004
  Ramnarayan P, Steel E, Britto J .