Diagnosis: Interpreting the Shadows
CRC Press, Sep 19, 2017 - Technology & Engineering - 370 pages
Despite diagnosis being the key feature of a physician's clinical performance, this is the first book that deals specifically with the topic. In recent years, however, considerable interest has been shown in this area and significant developments have occurred in two main areas: a) an awareness and increasing understanding of the critical role of clinical decision making in the process of diagnosis, and of the multiple factors that impact it, and b) a similar appreciation of the role of the healthcare system in supporting clinicians in their efforts to make accurate diagnoses. Although medicine has seen major gains in knowledge and technology over the last few decades, there is a consensus that the diagnostic failure rate remains in the order of 10-15%. This book provides an overview of the major issues in this area, in particular focusing on where the diagnostic process fails, and where improvements might be made.
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Abductive reasoning Accessed affective biases Alternative Medicine analytical anatomical pathology Appendix approach assessment Available awareness behavior beliefs BMJ Qual Saf cancer characteristics chest pain Clin clinical decision clinical reasoning clinicians cognitive bias communication confirmation bias critical thinking Croskerry debiasing decision maker described detect developed diagnostic error diagnostic failure diagnostic process diagnostic reasoning diagnosticians disease doctor dual process effective electronic health record emergency department emergency physician evaluation evidence evidence-based medicine evolutionary evolutionary psychology example experience expertise factors fundamental attribution error gender healthcare system heuristics human illness imaging impact Improve Diagnosis individual influence intelligence intervention intuitive JAMA knowledge logical fallacy medical decision medical education metacognition mindware one’s optimal outcome pathology patient safety practice problem Psychol rationality risk screening search satisficing Singh H skills specific Stanovich strategies symptoms teamwork tendency treatment triage Type 1 processes understanding