Educational agenda for diagnostic error reduction.

Document Type

Article

Publication Date

10-1-2013

Institution/Department

Internal Medicine

Journal Title

BMJ Qual Saf

MeSH Headings

Diagnostic Errors, Feedback, Psychological, Humans, Intuition, Medical Staff, Hospital, Patient Safety, Problem Solving, Staff Development

Abstract

Diagnostic errors are a major patient safety concern. Although the majority of diagnostic errors are partially attributable to cognitive mistakes, the most effective means of improving clinician cognition in order to achieve gains in diagnostic reliability are unclear. We propose a tripartite educational agenda for improving diagnostic performance among students, residents and practising physicians. This agenda includes strengthening the metacognitive abilities of clinicians, fostering intuitive reasoning and increasing awareness of the role of systems in the diagnostic process. The evidence supporting initiatives in each of these realms is reviewed and a course of future implementation and study is proposed. The barriers to designing and implementing this agenda are substantial and include limited evidence supporting these initiatives and the challenges of changing the practice patterns of practising physicians. Implementation will need to be accompanied by rigorous evaluation.

ISSN

2044-5423

First Page

28

Last Page

28

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