Educational strategies to reduce diagnostic error: can you teach this stuff?
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Diagnostic error typically involves both system-related and cognitive root causes. Educational interventions are proposed to address both of these dimensions: In regard to system-related origins, education should focus on communication skills, including handoffs. In regard to cognitive shortcomings, educators need to consider both normative approaches to decision making, as well as the ‘flesh and blood’ processes used by experienced clinicians. In the long term, the goal of education should be to promote expertise, based on the assumption that experts make the fewest mistakes. In the short term, education should emphasize the importance of reflective practice, and consider use of a checklist for diagnosis to improve reliability.
KeywordsHealth care quality Patient safety Diagnostic error Education Expertise
- Croskerry, P. (2009). Clinical cognition and diagnostic error: applications of a dual process model of reasoning. Advances in Health Sciences Education. doi: 10.1007/s10459-009-9182-2
- Kassirer, J. P., & Kopelman, R. I. (1991). Learning clinical reasoning. Baltimore, MD: Williams and Wilkins.Google Scholar
- Norman, G. (2009). Dual processing and diagnostic errors. Advances in Health Sciences Education. doi: 10.1007/s10459-009-9179-x
- Wears, R. L. (2009). What makes diagnosis hard? Advances in Health Sciences Education. doi: 10.1007/s10459-009-9181-3