Affinity mapping Themes Changes by reference group
Style and Grammar
"Not to use medical abbreviations e.g. SOL, hyperCa"
“Provide an introduction to the app”
Most abbreviations have been removed: “SOL” is now “space occupying lesion”
‘hyperCa” is now “hypercalcaemia”
An introductory page is in development.
Formatting
"All the questions were leading in favour of abnormal findings and then it was confusing to have the questions reversed. E.g., ‘is y normal?... tripped you up.” Style has been changed so that all are leading questions in preference of abnormal findings e.g., “is the gait abnormal?” as opposed to “is the gait normal?”
Information Technology
"Would be nice to modify an answer rather than restart" Currently AiD-DST remains unchanged such that if a mistake is made the user needs to restart. There are technical barriers to modification of this.
Clinical signs insufficiently sensitive
"Misses infective symptoms/signs if the answer is no to fever but older patients may not mount a fever and have an infection’" Phrasing changed to be broader to capture infection “or infective symptoms/signs and include immunosuppression?”
Excluded Diagnoses
“B12 deficiency”
“Constipation”
Vitamin B12 deficiency was added. Constipation was added as a potential cause/ contributor to all cases.
Other concerns
"Important to contextualise and remember it doesn’t replace clinical judgement" Consideration of a disclaimer added to AiD-DST “intended as an aid to and not a replacement for clinical judgement”