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dermatology.pngYou saw our Canadian Trivia on Twitter in the run-up to MLA; we connected at our booth and our Sunrise Seminar. You’re interested in VisualDx and want to learn more, but don’t know where to start?

Join us for an upcoming webinar about VisualDx and be entered to win a $50 Amazon gift card!

Wednesday, June 1, 12pm ET
 
Tuesday, June 7, 1pm ET

Thursday, June 16, 3pm ET

Equip your students, residents, and clinicians with the best differential diagnosis tool in medicine. VisualDx lets clinicians build a differential, confirm a diagnosis, and engage with patients. You may also have met Patricia Gogniat, MLS, AHIP, our lead medical research librarian, during the conference. She recently wrote a blog from the #medlibs perspective about the value of diagnostic decision support for medical librarians. Take a read and then sign up for one of our upcoming webinars!

We connected at MLA through our Canadian Trivia on Twitter, at our booth and our Sunrise Seminar. You're interested in VisualDx so learn more in an upcoming webinar.

VisualDx is proud of its staff of dedicated medical librarians, who help research medical content and verify the accuracy of many kinds of data in the product. They work collaboratively with a team of physician contributors and software engineers to develop and review medical content.

Patricia Gogniat, MLS, AHIP, is our lead medical research librarian. In this guest blog, she writes about the value of diagnostic decision support for medical librarians. Patricia and other members of the VisualDx team will be participating at MLA '16 in Toronto.

Here's Patricia's blog:


Introductions

patricia_2.jpgGreetings, medical librarians! In this blog post I’d like to share information about VisualDx and explain how it can be used as a point-of-care resource, either by clinical librarians or library patrons such as nurses, doctors, and other clinicians.

As lead medical research librarian at VisualDx, I work collaboratively with our physician contributors, our team of researchers and editors, and the software engineers to build, review, and maintain content in VisualDx. Our editorial team consists of 2 medical editors, 4 medical librarian researchers, 3 in-house physicians, and many consulting physicians. The content that we create and manage includes texts on our diagnosis topics, finding-diagnosis relationships that power the ddx builder (more on that below), references, codes, and our reference interface terminology, which is mapped to standards, along with all sorts of other metadata for each of our diagnosis concepts.

Ever wondered how the ddx search builder works in VisualDx?

When you enter findings to build a differential of matching diagnoses, you’re running a structured query of finding-diagnosis relationships. Let me explain.

On the back end, all of the data is stored in a relational database as concept-concept relationships. These relationships are evidence based, each being documented with a textbook citation, journal article, or other source of medical expertise. The librarian research team, along with our physician team, is heavily involved in creating these relationships. We review the best available literature evidence for each topic and then, using controlled terminology, add the relevant findings to every diagnosis. Relevant findings may include signs and symptoms, drug associations, travel history, exposures, and more.

It’s very similar to an indexing process where relevant index terms are added to an article. Though users can’t see our database of literature evidence (proprietary), we basically perform literature reviews for all 2,700 (and growing!) diagnosis concepts in VisualDx. Physicians then review all of the finding-diagnosis relationships, which currently number over 110,000!

At the point of care, as clinical librarians, in what scenarios would you use VisualDx?

I’ll summarize a few major points here, but if you’re attending MLA, please consider joining our Sunrise Seminar on Monday morning at 7am in room 203D, where I’ll cover scenarios in much greater detail. You can register here!

  • patricia_blog_post.jpgBuilding a differential. When cases are presented at morning reports, you can use VisualDx to enter case findings and build a differential diagnosis. Findings usually include signs and symptoms, but you can also search labs, medications, medical history, social history, and other risk factors such as recent air travel. We have guided workups available for certain chief complaints to prompt additional patient questions to help narrow the differential. Whether you pull up the differential yourself or teach students/residents to pull up the differential, it’s an important step to always consider “what else could this be?” – VisualDx helps clinicians avoid cognitive errors such as premature closure and incomplete data gathering.
  • Confirm a diagnosis. While rounding and discussing a specific case, if there is a leading diagnosis, you can pull it up in VisualDx to look at related images and text and help confirm the diagnosis. The Look For and Best Tests texts in particular aid with diagnosis confirmation, as does visual comparison of the patient to our images.
  • Patient engagement. Many clinicians use VisualDx to educate the patient about their diagnosis, which helps build confidence in the provider-patient relationship. It can be difficult for a patient to absorb all of the spoken information being conveyed by the clinician; showing the patient words describing their diagnosis or clinical images resembling their own condition can enhance understanding. Clinicians can also print a patient information sheet containing a specific selected image.
  • “What’s that rash?” Though this falls under the building a ddx category, our rash workups deserve a special mention. The most traditional use for VisualDx, given our history as a company founded by dermatologists, is when the chief complaint is a skin lesion. You can start by entering “single skin lesion” or “rash” and use the guided workup to build a differential. For any patient with a skin complaint, VisualDx can help you select the lesion type and enter other related findings. The large collection of medical images is essential for comparing rash patterns among diagnoses and is unrivaled by any other resource.
  • Therapy information. As of May 2016, we offer therapy recommendations for 1,500 out of 2,700 diagnoses. Many clinicians use VisualDx to look up the therapy recommendations for dermatologic diseases because they are concise and heavily reviewed by our dermatology editorial board.

I hope to see you at MLA! Consider attending the sunrise seminar on Monday if you’re curious about what VisualDx can offer medical librarians and how to use it at the point of care or how to teach it. If you’d like to learn more about the bones of VisualDx, come with your informatics questions! Register here to attend, or stop by room 203D on Monday May 16th at 7am.

VisualDx's Lead Medical Research Librarian shares information about VisualDx and explains how it can be used as a point-of-care resource, either by clinical librarians or library patrons such as nurses, doctors, and other clinicians.

medical_crisislg.jpgHeart disease. Cancer. Medical errors. The leading causes of death in the U.S. if the CDC accepts research analysis done by a Johns Hopkins team. Whether or not the CDC accepts this analysis, the subsequent headlines have shed an important light on medical error and what we can do to reduce it.

Dr. Martin Makary, a professor of surgery at Johns Hopkins University School of Medicine, and research fellow Michael Daniel looked at studies of health records and patient deaths. They found 35 preventable deaths through studies between 2000-2008 and extrapolated out the data to find medical error causes 251,454 deaths each year. 

What is medical error? The researchers describe death by medical error as falling into 4 categories: “an error in judgment, skill or coordination of care; a diagnostic error; a system defect resulting in death or a failure to rescue a patient from death; or a preventable adverse event.

There are no ICD codes to categorize death by medical error. Without an analytical way to “track” medical error death, Makary and Daniel argue that the CDC and the national as a whole are not giving the issue of death by medical error the attention it needs. While the federal government and private sector spend a lot of money on heart disease and cancer research and prevention, medical error reduction does not receive funding or research on the same level.

Critics argue that while bringing this issue to the forefront is paramount, the hype is overblown. StatNews argues that to get the real picture, Makary and Daniel should have collected medical records on their own and made decisions on which deaths were truly made by error. Other critics argue that the methodology is off, saying that 35 preventable deaths extrapolated to 250,000-plus deaths is extreme in context.

Whether or not you agree with the methodology, medical errors, including diagnostic errors, harm patients. “Nearly every person will experience a diagnostic error in their lifetime” according to the 2015 Institute of Medicine report. So as medical errors now dominate the healthcare conversation, it’s time to do something about it.

Heart disease. Cancer. Medical errors. The leading causes of death in the U.S. if the CDC accepts research analysis done by a Johns Hopkins team. 

mobile_acute_meningococcemiargb720.jpgROCHESTER, N.Y., [May 3, 2016] Take a peek inside any doctor's office, clinic, or emergency room and you'll find a crowd of patients with a myriad of symptoms, all looking for an accurate diagnosis and appropriate treatments. Helping those patients requires speed and accuracy. That's why we're proud to announce that the next generation of VisualDx's iOS and Android apps are now available for download.

Our updated apps cover content across general medicine. Tackle challenging diagnoses, compare disease variations, access quick therapy options, and enhance patient satisfaction with the most widely used clinical decision support software on your smartphone or tablet. Unlike any online text or database, VisualDx captures the variation of disease presentation by age, skin type, body location and severity, combining over 34,000 of the best medical images in the world – confirmed by leading physician experts – with a comprehensive search engine to give physicians patient-specific answers in seconds.

The ability to make accurate diagnoses quickly is necessary for the fast-paced, day-to-day schedule of any physician. "The VisualDx app is very user friendly and fast," says Tyler Shelton, PA-C, Florida Emergency Physicians. "As a busy clinician in emergency medicine, VisualDx is my go-to tool to access content and fill in any knowledge gaps. By providing me a visually integrated second opinion, I can quickly provide my patients the care they need."

Download the app today from the Apple App Store or Google Play Store. See for yourself why we are named a top app by both Harvard and UPenn and recognized as a Best in KLAS Category Leader for Clinical Decision Support for five years straight.

Tackle challenging diagnoses, compare disease variations, access quick therapy options, and enhance patient satisfaction all from your smartphone or tablet.

There’s a lot going on in internal medicine these days. There has been much written about the opioid epidemicburnout fears and Zika’s impending rise in the U.S.. VisualDx wants to bring the excitement back into medicine by providing excellence in clinical decision support.

With the new VisualDx, we’re proving it’s the must-have tool for internists.

Visit us at Booth 39 at the APDIM conference April 18-21 and test drive the new VisualDx! Our product is a great teaching tool for clinical decision making, but don’t take our word for it. Ask why over 100 internal medicine programs use VisualDx, including Harvard and Yale!introsympticons320.jpg

On March 1, we released the new version, expanding clinical decision support to chief complaints across general medicine. VisualDx covers more than 2,700 rare and common conditions which are represented by more than 32,000 images and 2,700 Sympticons.

Need quick answers? Smart search by chief complaint, diagnosis or medication and access therapy guidelines quickly.

Plus, the path to patient safety includes involving the patient in their own care. That’s easy to do with VisualDx – you can enhance patient satisfaction by sharing images and disease information with them. Plus, it builds confidence and strengthens the patient-doctor relationship.

So make sure to stop and say hi at #APDIM16 – we’ll be at Booth 39 to answer any and all of your questions.

Visit us at Booth 39 at the APDIM conference April 18-21 and test drive the new VisualDx! Our product is a great teaching tool for clinical decision making, but don’t take our word for it. Ask why over 100 internal medicine programs use VisualDx, including Harvard and Yale!

VisualDx offers clinicians in an urgent care setting the tools needed to save time, aid in decision-making, and engage patients. We will be exhibiting at the UCAOA National Urgent Care Convention April 17-20. Stop by and see the new VisualDx at booth 328. One of our top users, Jennifer Pugh, who works at an urgent care clinic shared this story with us.

jennifer.pugh.jpg"As an NP working in the clinic setting, I often encounter 'what’s this rash?' Most people do not remember if they were exposed to any irritants, bitten by an insect, or have an allergy to their products. This often makes determining a diagnosis challenging for any provider who does not specialize in dermatology. This also creates long waits for new appointments with dermatology because the provider is more likely to refer the patient if he/she is unsure about a diagnosis.

"I discovered VisualDx at my previous place of employment. The application was offered to us through the hospital system (free to employees). I decided to give it a try since it was free. The application was easy to download to my phone and easy to use. There was an option to look up a diagnosis, or build differentials. There were multiple pictures available and I could search for disorders based on dark skin tones, age, location on the body, and distribution. I was also given a synopsis on the disorder, as well as pearls for diagnosis, management and therapy.

"VisualDx has certainly made my time in clinical practice worthwhile. Convenience is the most valuable option VisualDx offers to me. I am very busy, so I don’t have time to go through a book looking for a diagnosis. I no longer feel intimidation when I see 'unknown rash' on the schedule. I just whip out my application, upload the differential builder, and go from there! I no longer work for the facility that offered me VisualDx, but it was well worth it to purchase it on my own. I have told all of my co-workers and friends about this application and they all are very excited about it. Thank you, VisualDx!"

-Jennifer Pugh, MSN, APRN, FNP-C

 

 

A nurse practitioner discusses how she uses VisualDx at her urgent care clinic. VisualDx will be exhibiting at the UCAOA National Urgent Care Conference April 17-20.

[March 22, 2016] – From Medpage Today's iMedicalApps:

VisualDx, the popular clinical decision support system that in the past has focused on dermatology and visual signs of disease, has launched its next generation point-of-care program. Unveiled at the 2016 meeting of the Health Information Management Systems Society (HIMSS) in Las Vegas, the new system has been expanded to include cardiopulmonary, gastrointestinal, neurologic, renal, urologic, and infectious disease, among others.

Art Papier, MD, CEO and co-founder of VisualDx, VisualDx-Visual Clinical Decision Support System (CDSS) explained that the new platform has doubled the number of potential diagnoses that it's capable of deciphering from 1,300 to 2,700 and is able to accept any chief complaint. "Combining the world's largest medical image library with our unique Sympticon visuals offers frontline healthcare providers a comprehensive resource for patient diagnosis." Its Sympticon technology lets clinicians visualize and compare symptoms by means of a series of searchable graphics. Each Sympticon highlights which organs are affected by the specific disease or diagnosis, confirming the old adage about a picture being worth a thousand words.

Papier and his colleagues from the University of Rochester College of Medicine have conducted a randomized trial to compare the software tool to standard textbooks to determine if VisualDx offers any advantages during the diagnostic process. Their findings, which were presented as a poster at an American Medical Informatics Association (AMIA) meeting, found that correct diagnoses doubled among non-dermatologists and was statistically significant.

Written by Paul Cerrato

[March 22, 2016] – iMedicalApps takes a look at the new version of VisualDx

ROCHESTER, NY (March 23, 2016) - A top ranked electronic health record and the leading diagnostic decision support system are teaming up to improve diagnostic accuracy. MEDENT and VisualDx announce today an agreement to provide VisualDx software within the MEDENT electronic medical record. 

“Through integration, we are empowering doctors and nurses with the point of care resources they need to make timely, accurate decisions,” said Dr. Art Papier, chief executive officer of VisualDx. “We are proud to partner with Medent, a top EHR for private practice physicians, to improve accuracy and improve patient care.”

“Integrating the power of VisualDx right at the point of care in the MEDENT EHR system, enables our users to take advantage of advanced clinical decision support and differential diagnosis tools where it matters most. The unique visual approach is a natural fit for the MEDENT system,“ said Gary Cuthbert, president of MEDENT.

Medent is a software development and services company focused on automating medical practices. We offer an All-In-One EMR/EHR, Patient Portal & Practice Management system providing a high-level of interoperability and automation. A recent Medical Economics survey ranked MEDENT EHR the #1 EHR system in the nation for the second year in a row. The MEDENT system is available in the cloud as a service or as a server based system in the medical practice. For more information, visit www.medent.com.

MEDENT and VisualDx announce an agreement to provide VisualDx software within the MEDENT electronic medical record. 

ROCHESTER, N.Y., [March 13, 2016] — Accurate diagnosis at the point of care: that’s what patients expect and should receive. In line with National Patient Safety Awareness Week (March 13-19), VisualDx is announcing a new technology to advance diagnostic accuracy in the exam room.

According to a 2015 landmark Institute of Medicine (IOM) report, nearly every person in the U.S. will experience a diagnostic error in their lifetime. According to the report, 74,000 deaths occur as a result of 18 million diagnostic errors annually.

medical_crisislg.jpgDownload an infographic about the medical crisis from VisualDx.

“The number of diagnostic errors in the U.S. medical system is staggering, but there is an avenue to reduce this growing problem through point of care, visually-centric technology,” said Dr. Art Papier, Chief Executive Officer of VisualDx. “VisualDx is the first diagnostic software system to gain widespread physician acceptance, it has now expanded from assisting skin, eye and oral related diagnosis, to visualization of patterns of internal disease across medicine”. 

Using visualization to guide a clinician to an accurate diagnosis at the point of care, the technology is the first to help clinicians recognize variation of disease patterns. The company is focused on reducing diagnostic error by providing visualization interfaces that more rapidly assist doctors in seeing unusual disease patterns. The company created the Sympticon™, a novel method to turn internal symptomatology into a visual comparison tool, speeding diagnosis and patient understanding. Clinicians can more rapidly identify symptom patterns that might ordinarily be missed. Patients are more confident in the diagnosis when their health practitioner utilizes VisualDx.

Accurate diagnosis at the point of care: that’s what patients expect and should receive. In line with National Patient Safety Awareness Week (March 13-19), VisualDx is announcing a new technology to advance diagnostic accuracy in the exam room. The number of diagnostic errors in the U.S. medical system is staggering, but there is an avenue to reduce this growing problem through point of care, visually-centric technology.