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” |