Is language an issue? Accuracy of the German computerized diagnostic decision support system ISABEL and cross-validation with the English counterpart.

Diagnosis (Berlin, Germany)(2023)

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Abstract
The German versions of Isabel achieved a somewhat lower accuracy compared to previous studies of the English version. The accuracy decreases substantially when the position in the suggested DDx list is taken into account. Whether Isabel Pro is accurate enough to improve diagnostic quality in clinical ED routine needs further investigation.
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Key words
clinical decision support, diagnostic accuracy, diagnostic decision support, diagnostic error, differential diagnosis generator, emergency medicine
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