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Brief Bio: Dr Joseph Britto did his MD in paediatrics at the Grant Medical College in Bombay in 1990. He was appointed a consultant and Honorary Senior lecturer in Paediatric Intensive care at Imperial College School of Medicine at St. Mary's, London in 1996. In his spare time he is learning to fly.
He traces his Goan roots to Porvorim (mother) and Moira (father).

For information about Isabel go to "About Isabel" at:

1. Goa Today Jan. 2002.
2. BBC 17 June, 2002. Website to reduce medical errors.
3. Department of Health Press Release
4. PR Newswire (US) 18 Fed. 2004. Award-Winning Clinical Diagnosis System from U.K. Introduced to U.S. Market at HIMSS Conference.

Doctor with a Mission
January, 2002
Dr Joseph Britto
London-based topnotch Goan pediatrician Dr Joseph Britto was down in Goa last month to atalyze the setting up of mobile intensive care units for children in the State. Following his keynote ddress on Inter-Hospital Transfer of critically ill Children at the 16th Asia Pacific Congress on Diseases of the Chest, he tirelessly played the role of a motivator by driving the players of the paradigm. A Consultant in Pediatric Intensive Care at St Mary’s Hospital, London, Dr Britto led a study that found that the death rate of critically ill children referred to the pediatric intensive care unit of major hospitals in the country plummeted from 23 to 2 per cent. An alumnus of Grant Medical College, Mumbai, he offers an internet related clinical decision system via, which gives relevant differential diagnosis within seconds once one puts in a set of clinical features.

Monday 17 June, 2002
Dr Joseph Britto
Selected excerpts:
Dr Joseph Britto, a consultant in paediatric intensive care at St Mary's Hospital, said that many ill children were seen by junior doctors, and not experienced consultants.

"We need systems like Isabel that will bring some of the knowledge down to the junior doctor at the bed side, and hopefully that will prevent diagnostic error.

"If this system had been in place at the hospital where Isabel presented it would have made a difference.

"It would have highlighted to the junior doctor that what he was dealing with was not just straightforward chickenpox, but chickenpox that had been complicated by a bacterial infection."

A study in the British Medical Journal published last year suggested that as many as one in 10 patients admitted to hospitals experienced medical error.

It is estimated that health care professionals carry around 2 million pieces of clinical information in their heads.

Thursday 3rd July 2003
More than £120,000 of funding for a unique computer system - ISABEL - which allows any doctor to tap a list of symptoms into a database and receive a list of possible diagnoses, was announced today by Health Minister, John Hutton.

The money will pay for a research project so that the device - already used in childrens wards - can be developed to diagnose symptoms in adults.

The Isabel Medical Charity - set up three years ago by Jason and Charlotte Maude - has supported the development of ISABEL. Their daughter, Isabel Maude was transferred to the Paediatric Intensive Care Unit (PICU) at St Mary's Hospital, Paddington after an earlier misdiagnosis at her local hospital had failed to detect the severity of her condition. Isabel recovered during her two months in St Mary's. Since then, Dr Joseph Britto, consultant paediatrician at PICU has worked extensively on the production of this unique tool aimed at assisting doctors and consultants in their decisions about the clinical management of sick children.

Visiting the PICU at St Mary's Hospital, John Hutton said:

"We have been working closely with the Isabel Medical charity to evaluate the system, and have been impressed by its usefulness in diagnosing symptoms in children. It has considerable potential to help patients and doctors. I am pleased to announce that the Government will contribute £127,000 over the next three years for the development of an adult version of the decision support system.

"This funding will match an equal contribution from the Helen Hamlyn Trust. I am hopeful that this will result in the production of a valuable tool and make a significant contribution to improvements in patient safety.

Clinical Director and Co-Founder of ISABEL Clinical Decision Support Systems, Dr Joseph Britto MD said:

"In recent trials at 4 NHS hospitals, the ISABEL system has been shown to improve the diagnostic accuracy of frontline UK clinicians. ISABEL is unique, not just in terms of the diagnostic tool, but through the ability to deliver into the workflow of the clinician treatment guidelines, and lessons learnt from error and knowledge. The ISABEL system is likely to have a big impact on morbidity and mortality rates."

Trustee and Co-Founder of ISABEL Medical Charity, Jason Maude said:

" The diagnostic error made in my daughter's case was a dramatic example of how the model of healthcare delivery in the UK can sometimes go wrong. The ISABEL system has been shown to help clinicians improve patient care and safety and I am therefore delighted that the Department of Health has confirmed additional financial support."

Notes to editors:

1. The Isabel Medical Charity was established in April 2000 (UK Charity No: 1080342).

2. ISABEL draws on standard medical texts, and comprises a number of different integrated features, each one designed to enhance the other. Its key features are a Differential Diagnostic Tool (DDT), Treatment Algorithms, an annotated Image Library and an Experience section.

3. For media enquiries only, please contact Steve Ryan in the Department of Health Media Centre 020 7210 5226.

Award-Winning Clinical Diagnosis System from U.K. Introduced to U.S. Market at HIMSS Conference
LONDON, Feb. 18 /PRNewswire/ -- ISABEL, the award-winning, web-based clinical diagnosis system, will be launched to the U.S. healthcare market at the annual HIMSS conference in Orlando, Florida next week.
ISABEL, a unique, point-of-care system which assists clinicians to make fast, accurate diagnoses, has been used by more than 10,000 clinicians in the United Kingdom alone and won awards from the British Computer Society and the U.K. Department of Health.
Immediately after entering a patient's key symptoms and signs, ISABEL produces a range of relevant and reasonable diagnoses for the clinician to consider. According to a study published in the May 2003 issue of Archives in Disease in Childhood, the system had 95% accuracy rate in 100 real-life diagnoses. In a 2003 joint U.S.-U.K. study, ISABEL added a significant diagnosis in half of the cases considered by a tertiary center medical team.
The ISABEL system is named after the young daughter of its co-founder, Jason Maude. The child almost died after a potentially fatal illness was not recognized by a physician at a London hospital in 1999. Maude worked with Dr. Joseph Britto M.D., the pediatric intensive care attending physician who cared for Isabel Maude, to create the unique software system.
The system is designed to be low cost and will be available in the U.S. on a subscription basis to medical groups and hospitals. It is web-based and is currently available on a stand-alone basis for pediatrics. An adult version will be available later on this year. It is designed to link to an electronic health record (EHR) and enable a hospital to integrate ISABEL with its other electronic information systems and reference materials.
According to Dr. Britto, "The ISABEL system is an online, instant second opinion and safety net. Many acute illnesses share symptoms and signs with relatively harmless conditions. ISABEL is intuitive and clinicians find it easy to use. Our studies have shown that in 1 in 7 cases, frontline clinicians were prompted to consider the final diagnosis only after using the ISABEL system. We believe it can make a major contribution to reducing diagnostic errors, improving the quality of care and reducing costs."
The system will be on display at booth 4372 at the HIMSS Conference.
Founders Jason Maude and Dr. Joseph Britto M.D. will be at the conference. To learn about the system, see the web site

For more information:
James Harris
Westside Public Relations
Los Angeles, CA
Office: +1-310-398-5565
Cell: +1-310-780-7107

Other References
    For a comprehensive list go to and select 'About Isabel'
Some of the many other references:

    1. 27 July 2001. Diagnosing Children Set For Revolution. Page 10 of

    2. 21 June 2002. Health Minister Lord Hunt with those behind the ISABEL vision. Page 3 of

    3. 22 June 2002. BMJ 2002;324:1478. New online diagnostic tool launched to
    help doctors.

    4. 6 Nov. 2002. Autonomy Congratulates Isabel.

    5.International Telecommunications Union. World Summit on the Information Society, Geneva 2003. Isobel.


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