Xebra DDx

The Most Advanced Clinical Decision Search Engine

The XebraPro™ clinical decision support technology collects and utilizes all the cognitive strategies of great clinicians while correcting for the cognitive error that's implicated in most misdiagnosis. For any number and combination of symptoms, signs, labs, medications, and patient history inputs, Xebra Pro instantly and dynamically generates a real-time differential diagnosis and workup checklist that reminds users exactly what top clinicians would do next. No other technology comes close. It's the most advanced DDx support tool in the world.

XebraPro™: The Ultimate Diagnosis Decision-Support Tool

  • Get maximum confidence from the most complete differential diagnosis engine in the world.
  • Use our Workup Guides to prevent premature closure (#1 cause of misdiagnosis) and our RightLab™ feature to stop under- and over-utilization.
  • See more patients at lower cost and with no loss of quality.
  • Saves time as it records most of the entire diagnostic conversation for you.
  • Increase quality time spent with your patients and get higher satisfaction ratings.

Study: Clinical questions raised by clinicians at the point of care: a systematic review.

Authors: Del Fiol G, Workman TE, Gorman PN. Systematic review: the relationship between clinical experience and quality of health care. JAMA Intern Med. 2014 May;174(5):710-8. doi: 10.1001/jamainternmed.2014.368.

Findings: Clinicians frequently raise questions about patient care in their practice. Although they are effective at finding answers to questions they pursue, roughly half of the questions are never pursued. This picture has been fairly stable over time despite the broad availability of online evidence resources that can answer these questions. Technology-based solutions should enable clinicians to track their questions and provide just-in-time access to high-quality evidence in the context of patient care decision making. Opportunities for improvement include the recent adoption of electronic health record systems and maintenance of certification requirements.

  • In 11 studies, 7012 questions were elicited through short interviews with clinicians after each patient visit.
  • The mean frequency of questions raised was 0.57 (95% CI, 0.38-0.77) per patient seen, and clinicians pursued 51% (36%-66%) of questions and found answers to 78% (67%-88%) of those they pursued.
  • Overall, 34% of questions concerned drug treatment, and 24% concerned potential causes of a symptom, physical finding, or diagnostic test finding.
  • Clinicians' lack of time and doubt that a useful answer exists were the main barriers to information seeking.

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Study: Systematic review: the relationship between clinical experience and quality of health care.

Authors: Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med. 2005; 142:260.

Findings: The study examined the belief that physicians with more years in practice have accumulated knowledge and skills that permit them to deliver higher-quality care. However, there was an inverse relationship between the number of years that a physician had been in practice and the quality of care that they provided. The authors concluded that:

  • Physicians who have been in practice longer may be at risk for providing lower-quality care. As a result, they may need quality improvement interventions.

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