If you're worried about not catching a legit emergency, as in something that can't wait a day or two for them to complete the different sessions, you could have a doctor monitor the interactions with the ability to raise a flag and step in to send them to the ER.
And in most cases the diagnosis is the easy part. I mean we see occasional horror stories about misdiagnosis but those are rare. The harder and more important part is coming up with an effective treatment plan which the patient will actually follow, and then monitoring progress while making adjustments as needed. So a focus on the diagnosis portion of clinical decision support seems fundamentally misguided.
Yea, like how rich the patient is or if they are on insurance etc. I wish I was kidding.
You have to justify it, but most places have sections in the document where you request review to justify it. It’s not any different from giving one patient heart medicine that you think works and another patient a sugar pill.
In actual heart medicine studies the control arm is typically treated with the current standard of care, not a placebo. So it seems pretty clear that you don't have any actual knowledge or experience in this area.