Dangerous Diagnostics

Dangerous Diagnostics

Author: Dorothy Nelkin

Publisher: University of Chicago Press

Published: 1994-03

Total Pages: 236

ISBN-13: 9780226571294

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A study of the pervasiveness of diagnostic testing and the potential it offers institutions to classify, categorize and ultimately control individuals. The ethical, social and legal implications of technologies that can lead to new forms of discrimination are also included.


Improving Diagnosis in Health Care

Improving Diagnosis in Health Care

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2015-12-29

Total Pages: 473

ISBN-13: 0309377722

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Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.


Advanced Solutions in Diagnostics and Fault Tolerant Control

Advanced Solutions in Diagnostics and Fault Tolerant Control

Author: Jan M. Kościelny

Publisher: Springer

Published: 2017-07-28

Total Pages: 482

ISBN-13: 3319644742

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This book highlights the latest achievements concerning the theory, methods and practice of fault diagnostics, fault tolerant systems and cyber safety. When considering the diagnostics of industrial processes and systems, increasingly important safety issues cannot be ignored. In this context, diagnostics plays a crucial role as a primary measure of the improvement of the overall system safety integrity level. Obtaining the desired diagnostic coverage or providing an appropriate level of inviolability of the integrity of a system is now practically inconceivable without the use of fault detection and isolation methods. Given the breadth and depth of its coverage, the book will be of interest to researchers faced with the challenge of designing technical and medical diagnosis systems, as well as junior researchers and students in the fields of automatic control, robotics, computer science and artificial intelligence.


Signal Detection Theory and ROC Analysis in Psychology and Diagnostics

Signal Detection Theory and ROC Analysis in Psychology and Diagnostics

Author: John A. Swets

Publisher: Psychology Press

Published: 2014-02-25

Total Pages: 325

ISBN-13: 131777972X

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Signal detection theory--as developed in electrical engineering and based on statistical decision theory--was first applied to human sensory discrimination 40 years ago. The theoretical intent was to provide a valid model of the discrimination process; the methodological intent was to provide reliable measures of discrimination acuity in specific sensory tasks. An analytic method of detection theory, called the relative operating characteristic (ROC), can isolate the effect of the placement of the decision criterion, which may be variable and idiosyncratic, so that a pure measure of intrinsic discrimination acuity is obtained. For the past 20 years, ROC analysis has also been used to measure the discrimination acuity or inherent accuracy of a broad range of practical diagnostic systems. It was widely adopted by methodologists in the field of information retrieval, is increasingly used in weather forecasting, and is the generally preferred method in clinical medicine, primarily in radiology. This book attends to both themes, ROC analysis in the psychology laboratory and in practical diagnostic settings, and to their essential unity. The focus of this book is on detection and recognition as fundamental tasks that underlie most complex behaviors. As defined here, they serve to distinguish between two alternative, confusable stimulus categories, which may be perceptual or cognitive categories in the psychology laboratory, or different states of the world in practical diagnostic tasks. This book on signal detection theory in psychology was written by one of the developers of the theory, who co-authored with D.M. Green the classic work published in this area in 1966 (reprinted in 1974 and 1988). This volume reviews the history of the theory in engineering, statistics, and psychology, leading to the separate measurement of the two independent factors in all discrimination tasks, discrimination acuity and decision criterion. It extends the previous book to show how in several areas of psychology--in vigilance and memory--what had been thought to be discrimination effects were, in reality, effects of a changing criterion. The book shows that data plotted in terms of the relative operating characteristic have essentially the same form across the wide range of discrimination tasks in psychology. It develops the implications of this ROC form for measures of discrimination acuity, pointing up the valid ones and identifying several common, but invalid, ones. The area under the binormal ROC is seen to be supported by the data; the popular measures d' and percent correct are not. An appendix describes the best, current programs for fitting ROCs and estimating their parameters, indices, and standard errors. The application of ROC analysis to diagnostic tasks is also described. Diagnostic accuracy in a wide range of tasks can be expressed in terms of the ROC area index. Choosing the appropriate decision criterion for a given diagnostic setting--rather than considering some single criterion to be natural and fixed--has a major impact on the efficacy of a diagnostic process or system. Illustrated here by separate chapters are diagnostic systems in radiology, information retrieval, aptitude testing, survey research, and environments in which imminent dangerous conditions must be detected. Data from weather forecasting, blood testing, and polygraph lie detection are also reported. One of these chapters describes a general approach to enhancing the accuracy of diagnostic systems.


Disease and Diagnosis

Disease and Diagnosis

Author: William E. Stempsey

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 264

ISBN-13: 9401141606

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The germs of the ideas in this book became implanted in me during my experience as a resident in clinical pathology at Boston University Medical Center. At the time, I had inklings that the test results churned out by our laboratories were more than scientific facts. As a philosophically unsophisticated young physician, however, I had no language or framework to analyze what I saw as a deep philosophical problem, a problem largely unrecognized by most physicians. The test results provided by our laboratories were accurate and of great practical importance for patient care. However, most of the physicians who relied on our test results to diagnose and treat their patients either did not have the time or interest to consider the philosophical issues inherent in diagnosis, or, like me, had inadequate means to further analyze them. It was more than ten years later that I began doctoral studies in philosophy, and I was fortunate to find a faculty that was supportive of my efforts to address the problem. This book began as my doctoral dissertation in the Department of Philosophy at Georgetown University. I would like to acknowledge the assistance of my mentor, Robert Veatch, Ph. D. Our conversations during my Georgetown years led me in new and often fascinating directions. I would also like to acknowledge the help of Kenneth Schaffner, M. D. , Ph. D.


The Ethics of Diagnosis

The Ethics of Diagnosis

Author: José Luis Peset

Publisher: Springer Science & Business Media

Published: 2007-07-23

Total Pages: 303

ISBN-13: 0585283338

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A major focus of the philosophy of medicine and, in general, of the philosophy of science has been the interplay of facts and values. Nowhere is an evaluation of this interplay more important than in the ethics of diagnosis. Traditionally, diagnosis has been understood as an epistemological activity which is concerned with facts and excludes the intrusion of values. The essays in this volume challenge this assumption. Questions of knowledge in diagnosis are intimately related to the concerns with intervention that characterize the applied science of medicine. Broad social and individual goals, as well as diverse ethical frameworks, are shown to condition both the processes and results of diagnosis. This has significant implications for bioethics, implications that have not previously been developed. With this volume, `the ethics of diagnosis' is established as an important branch of bioethics.


The Practices of Human Genetics

The Practices of Human Genetics

Author: Michael Fortun

Publisher: Springer Science & Business Media

Published: 1998-12-31

Total Pages: 236

ISBN-13: 9780792353331

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That concern about human genetics is at the top of many lists of issues requiring intense discussion from scientific, political, social, and ethical points of view is today no surprise. It was in the spirit of attempting to establish the basis for intelligent discussion of the issues involved that a group of us gathered at a meeting of the International Society for the History, Philosophy, and Social Studies of Biology in the Summer of 1995 at Brandeis University and began an exploration of these questions in earlier versions of the papers presented here. Our aim was to cross disciplines and jump national boundaries, to be catholic in the methods and approaches taken, and to bring before readers interested in the emerging issues of human genetics well-reasoned, informative, and provocative papers. The initial conference and elements of the editorial work which have followed were generously supported by the Stifterverband fUr die Deutsche Wissenschaft. We thank Professor Peter Weingart of Bielefeld University for his assistance in gaining this support. As Editors, we thank the anonymous readers who commented upon and critiqued many of the papers and in tum made each paper a more valuable contribution. We also thank the authors for their understanding and patience. Michael Fortnn Everett Mendelsohn Cambridge, MA September 1998 vii INTRODUCTION In 1986, the annual symposium at the venerable Cold Spring Harbor laboratories was devoted to the "Molecular Biology of Homo sapiens.


Diagnosis: Danger

Diagnosis: Danger

Author: Marie Ferrarella

Publisher: Harlequin

Published: 2010-06-17

Total Pages: 240

ISBN-13: 142686857X

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Someone else might crave excitement, but Dr. Natalya Pulaski wasenjoying her ordinary life. Then she received a chilling call from herbest friend—and the line mysteriously went dead. She felt in herbones something bad had happened. And that she had to get answers. Detective Michael DiPalma's Friday night plans did not includeworking a missing person's case—or uncovering a dead body. But something about Natalya's vivid green eyes and killer curves demanded his immediate attention. As they teamed up, it was clear the walls around their guarded hearts were about to crumble. Were they brave enough to take the fall?


Pre-Examination Procedures in Laboratory Diagnostics

Pre-Examination Procedures in Laboratory Diagnostics

Author: Walter G. Guder

Publisher: Walter de Gruyter GmbH & Co KG

Published: 2015-08-31

Total Pages: 424

ISBN-13: 3110334046

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The preanalytical phase is an important component of Laboratory medicine and errors arising in this phase affect the validity of laboratory results. In this book physicians and clinical staff have access to valuable information about the current preanalytical variables and factors (patient preparation, sample collection, handling and processing before analysis).