title: The reliability of an epilepsy treatment clinical decision support system.
abstract: We developed a content validated computerized epilepsy treatment clinical decision support system to assist clinicians with selecting the best antiepilepsy treatments. Before disseminating our computerized epilepsy treatment clinical decision support system, further rigorous validation testing was necessary. As reliability is a precondition of validity, we verified proof of reliability first. We evaluated the consistency of the epilepsy treatment clinical decision support system in three areas including the preferred antiepilepsy drug choice, the top three recommended choices, and the rank order of the three choices. We demonstrated 100% reliability on 15,000 executions involving a three-step process on five different common pediatric epilepsy syndromes. Evidence for the reliability of the epilepsy treatment clinical decision support system was essential for the long-term viability of the system, and served as a crucial component for the next phase of system validation.
authors.affiliation: Division of Pediatric Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA, Shannon.Standridge@cchmc.org.
authors.forename: Shannon
authors.initials: S
authors.lastname: Standridge
authors.forename: Robert
authors.initials: R
authors.lastname: Faist
authors.forename: John
authors.initials: J
authors.lastname: Pestian
authors.forename: Tracy
authors.initials: T
authors.lastname: Glauser
authors.forename: Richard
authors.initials: R
authors.lastname: Ittenbach
mesh_terms: D002648:Child; D020000:Decision Support Systems, Clinical / Q000458:organization & administration / Q000592:standards*; D004827:Epilepsy / Q000628:therapy*; D005103:Expert Systems; D006801:Humans; D015203:Reproducibility of Results; D013813:Therapy, Computer-Assisted
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