優先順位付けされた鑑別診断の覚え書き

Simple Problem List
Processed Problem List
Patient Illness Script

• Epidemiology
• Time Course
• Syndrome Statement
• Other History

Case Summary
Tiered (Prioritized) Differential Diagnoses

• Tier I (very likely,  > 90%, odds: > 9)　喩えると、馬、本命馬。
•          (likely, 67 - 90%, odds: 2 - 9)
• Tier IE (Emergent severe consequencies if missed)　喩えると、ブラックスワン、ケンタウロス、地雷…
• Tier II (uncertain, 34 - 66%, odds: 0.5 - 2)　喩えると、鹿、対抗馬。
• Tier III (unlikely, 10 - 33%, odds: 0.11 - 0.5)　喩えると、シマウマ、穴馬。
•           (very unlikely, < 10%, odds: < 0.11)

References

• Schmidt HG. "A cognitive perspective on medical expertise: theory and implication". Acad Med. 1990 Oct;65(10):611-21. 
• Miller, GA. "The magical number seven, plus or minus two: Some limits on our capacity for processing information". Psychological Review 1956 63 (2): 81–97
• 医療における頻度を表す言葉と確率の接点