Download or read book Risk and Reasoning in Clinical Diagnosis written by Cym Anthony Ryle and published by Oxford University Press, USA. This book was released on 2019-07-12 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accurate diagnosis is the foundation of medical practice, but at the start of the diagnostic process, uncertainty is inevitable. The clinician's skills and cognitive attributes determine the quality of the initial differential diagnosis and thus the crucial first phases of investigation and treatment; mistakes are often self-propagating. Diagnostic error is a major cause of avoidable morbidity and mortality, and is the commonest reason for successful litigation. Risk and Reasoning in Clinical Diagnosis is an accessible and readable look at the diagnostic process. Dr. Cym Ryle presents the insights and concepts developed in cognitive psychology which have led to the consensus that in all domains human reasoning is primarily driven by unconscious, intuitive mechanisms; the contribution of structured, analytical thinking is variable and inconsistent. He notes that the risk of error is inseparable from these mechanisms. Dr. Ryle then develops a description of the diagnostic process which encompasses its form, strengths and fallibility, and illustrates this description with examples from his work as a general practitioner. He argues that improving diagnostic accuracy should be a priority, and that there is sufficient evidence to guide changes in medical training, in clinical practice, and in the culture and organisation of our institutions. He identifies specific, practical steps that can be taken by individual clinicians and by clinical teams, suggests priorities for action in our institutions, and considers the obstacles to progress.
Download or read book Risk and Reasoning in Clinical Diagnosis written by Cym Anthony Ryle and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Accurate diagnosis is the foundation of medical practice, but at the start of the diagnostic process, uncertainty is inevitable. The clinician's skills and cognitive attributes determine the quality of the initial differential diagnosis and thus the crucial first phases of investigation and treatment; mistakes are often self-propagating. Diagnostic error is a major cause of avoidable morbidity and mortality, and is the commonest reason for successful litigation. Risk and Reasoning in Clinical Diagnosis is an accessible and readable look at the diagnostic process. Dr. Cym Ryle presents the insights and concepts developed in cognitive psychology which have led to the consensus that in all domains human reasoning is primarily driven by unconscious, intuitive mechanisms; the contribution of structured, analytical thinking is variable and inconsistent. He notes that the risk of error is inseparable from these mechanisms. Dr. Ryle then develops a description of the diagnostic process which encompasses its form, strengths and fallibility, and illustrates this description with examples from his work as a general practitioner. He argues that improving diagnostic accuracy should be a priority, and that there is sufficient evidence to guide changes in medical training, in clinical practice, and in the culture and organisation of our institutions. He identifies specific, practical steps that can be taken by individual clinicians and by clinical teams, suggests priorities for action in our institutions, and considers the obstacles to progress
Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Download or read book Clinical Reasoning Knowledge Uncertainty and Values in Health Care written by Daniele Chiffi and published by Springer Nature. This book was released on 2020 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers a philosophically-based, yet clinically-oriented perspective on current medical reasoning aiming at 1) identifying important forms of uncertainty permeating current clinical reasoning and practice 2) promoting the application of an abductive methodology in the health context in order to deal with those clinical uncertainties 3) bridging the gap between biomedical knowledge, clinical practice, and research and values in both clinical and philosophical literature. With a clear philosophical emphasis, the book investigates themes lying at the border between several disciplines, such as medicine, nursing, logic, epistemology, and philosophy of science; but also ethics, epidemiology, and statistics. At the same time, it critically discusses and compares several professional approaches to clinical practice such as the one of medical doctors, nurses and other clinical practitioners, showing the need for developing a unified framework of reasoning, which merges methods and resources from many different clinical but also non-clinical disciplines. In particular, this book shows how to leverage nursing knowledge and practice, which has been considerably neglected so far, to further shape the interdisciplinary nature of clinical reasoning. Furthermore, a thorough philosophical investigation on the values involved in health care is provided, based on both the clinical and philosophical literature. The book concludes by proposing an integrative approach to health and disease going beyond the so-called "classical biomedical model of care".
Download or read book ABC of Clinical Reasoning written by Nicola Cooper and published by John Wiley & Sons. This book was released on 2023-02-13 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: Being a good clinician is not only about knowledge — how doctors and other healthcare professionals think, reason, and make decisions is arguably their most critical skill. The second edition of the ABC of Clinical Reasoning breaks down clinical reasoning into its core components and explores each of these in more detail, including the applications for clinical practice, teaching, and learning. Informed by the latest evidence from cognitive psychology, education, and studies of expertise, this edition has been extensively re-written and updated, and covers: Key components of clinical reasoning: evidence-based history and examination, choosing and interpreting diagnostic tests, problem identification and management, and shared decision-making Key concepts in clinical reasoning, such dual process theories, and script theory Situativity and human factors Metacognition and cognitive strategies Teaching clinical reasoning From a team of expert authors, the ABC of Clinical Reasoning is essential reading for all students, clinical teachers, curriculum planners and clinicians involved in diagnosis.
Download or read book Principles and Practice of Case based Clinical Reasoning Education written by Olle ten Cate and published by Springer. This book was released on 2017-11-06 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is open access under a CC BY 4.0 license. This volume describes and explains the educational method of Case-Based Clinical Reasoning (CBCR) used successfully in medical schools to prepare students to think like doctors before they enter the clinical arena and become engaged in patient care. Although this approach poses the paradoxical problem of a lack of clinical experience that is so essential for building proficiency in clinical reasoning, CBCR is built on the premise that solving clinical problems involves the ability to reason about disease processes. This requires knowledge of anatomy and the working and pathology of organ systems, as well as the ability to regard patient problems as patterns and compare them with instances of illness scripts of patients the clinician has seen in the past and stored in memory. CBCR stimulates the development of early, rudimentary illness scripts through elaboration and systematic discussion of the courses of action from the initial presentation of the patient to the final steps of clinical management. The book combines general backgrounds of clinical reasoning education and assessment with a detailed elaboration of the CBCR method for application in any medical curriculum, either as a mandatory or as an elective course. It consists of three parts: a general introduction to clinical reasoning education, application of the CBCR method, and cases that can used by educators to try out this method.
Download or read book Diagnostic Reasoning written by Jean M. Nagelkerk and published by Saunders. This book was released on 2001 with total page 406 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new manual offers readers valuable practice in analyzing data and making effective clinical decisions. First, a section on Clinical Data explores the decision-making process, the health history, the physical examination, diagnostic tests, and herbal therapies. Next, abundant case studies cover a variety of disorders in every body system. A final section on Documentation as a Communication Tool explains how to document care successfully.
Download or read book Diagnostic Reasoning in Nursing written by Doris L. Carnevali and published by Lippincott Williams & Wilkins. This book was released on 1984 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Science and Logic in Medical Diagnosis written by Lee A Forstrom and published by FriesenPress. This book was released on 2021-07-26 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinicians and patients know the importance of correct diagnosis for proper treatment. So important – a correct diagnosis – it is the first theme of this book. Several other themes are also important. A second theme is established as “cause and effect,” common or peculiar linked entities in at least some humans. A third theme deals with probabilities, both objective and statistical and/or subjective probabilities. The fourth theme covers the inhomogeneity among all humans. That is, all people are unique. Is science a theme? Not of this kind. Instead, science encompasses all of the themes above and others. Logic holds their framework. The diagnostic model above has been modified by allowing wider scope of inference similar to the earlier “differential diagnoses” model. A quite radical model called “Evidence-Based Medicine (EBM),” was created about thirty years ago. Its advocates depend largely on statistics, with little interest in science. Discussion and comparisons with traditional and EBM models argue here undesirable shortcomings of the latter. Far from dismissing science, but robust medical science, knowledge, experience and professional clinicians continues in caring her/his individual patients.
Download or read book Reasoning in Medicine written by Daniel A. Albert and published by . This book was released on 1988 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Download or read book Learning Clinical Reasoning written by Jerome P. Kassirer and published by LWW. This book was released on 2010 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: Employs a case-based approach to teach the basics of clinical reasoning, discusses steps in the clinical reasoning process, inductive and deductive strategies, data collection and its flaws, and assessing the reliability of clinical evidence.
Download or read book Helping Hands written by Caroline J Rodgers and published by CRC Press. This book was released on 2019-10-18 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: This brand-new textbook introduces medical students, junior doctors, medical educators and allied health professionals to the vital skills of diagnostic strategy and clinical reasoning, both essential components of becoming an effective clinician. Taking the examination of the hands as a springboard – often the initial step in physical examination and from which a wealth of information can be gleaned – through real-life clinical cases readers are encouraged to refine their powers of observation and decision-making strategy. Key features: • Encourages a conscious approach to clinical reasoning – ‘see’ rather than just ‘look’ • Develops an understanding of why all clinicians can be responsible for diagnostic mistakes and how, with a raised awareness, they can work towards avoiding error • Outlines approaches that can be used when taking a history and when examining patients in any clinical setting • Bundled e-book for use ‘on the go’ while the companion website provides additional materials for students and lecturers including self-assessment questions and teaching guidance Outlining the process of formulating and refining an initial diagnosis, in using this book the medical student or junior doctor will develop a critical self-awareness of the strategies they employ in assessing patients, learn how to improve and enhance their skills, and feel enabled to craft an appropriate management plan.
Download or read book Bovine Medicine written by Peter Cockcroft and published by John Wiley & Sons. This book was released on 2015-06-02 with total page 676 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thoroughly updated to reflect recent changes in the industry, Bovine Medicine, 3rd Edition, offers practicing large animal veterinarians and veterinary students a comprehensive reference to core aspects of contemporary cattle health and husbandry. New edition of a classic text, featuring thoroughly rewritten text, with coverage shifted to the core aspects of everyday cattle practice Includes new focus on both applied skills and application of knowledge, along with many more full-colour illustrations than in previous editions Represents a toolkit of skills that will support the delivery of contemporary cattle practice Presents a seamless integration of information on husbandry, nutrition, and disease Written by a wide range of experts from around the world
Download or read book Assessment of Diagnostic Technology in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 1989-02-01 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: Technology assessment can lead to the rapid application of essential diagnostic technologies and prevent the wide diffusion of marginally useful methods. In both of these ways, it can increase quality of care and decrease the cost of health care. This comprehensive monograph carefully explores methods of and barriers to diagnostic technology assessment and describes both the rationale and the guidelines for meaningful evaluation. While proposing a multi-institutional approach, it emphasizes some of the problems involved and defines a mechanism for improving the evaluation and use of medical technology and essential resources needed to enhance patient care.
Download or read book Advanced Health Assessment Clinical Diagnosis in Primary Care E Book written by Joyce E. Dains and published by Elsevier Health Sciences. This book was released on 2012-10-12 with total page 531 pages. Available in PDF, EPUB and Kindle. Book excerpt: Take your understanding to a whole new level with Pageburst digital books on VitalSource! Easy-to-use, interactive features let you make highlights, share notes, run instant topic searches, and so much more. Best of all, with Pageburst, you get flexible online, offline, and mobile access to all your digital books. Designed for advanced practice nurses and advanced practice nursing students, as well as Physician's Assistant students and practitioners, Advanced Health Assessment & Clinical Diagnosis in Primary Care, 4th Edition, is a practical resource that takes you to the "next step" of health assessment, beyond basic history and physical examination and through the diagnostic reasoning process. Accessible and concise, it approaches physical examination by focusing on a specific chief complaint rather than a diagnosis of a disease entity. Each chapter is organized into four major areas: Focused History; Focused Physical Examination; Laboratory and Diagnostic Studies; and Differential Diagnosis. Those who master the diagnostic reasoning process in this text will be able to accurately diagnose the majority of conditions they will see in clinical practice. Easy-to-follow format with consistent organization improves your ability to understand and accurately perform the different elements of the diagnostic reasoning process: Focused History sections walk you through the thinking process involved in obtaining a pertinent, relevant, problem-specific history that will assist in differential diagnosis. Key Questions highlight what questions to ask the patient, followed by an explanation of what the patient's responses might signify, to guide you toward an accurate assessment and precise diagnosis. Focused Physical Examination sections explain how to conduct more advanced diagnostic techniques and offer interpretations of the findings. Laboratory and Diagnostic Studies sections give a brief outline of what types of laboratory or diagnostic studies would be appropriate for the chief complaint or suspected diagnosis. Differential Diagnosis sections contain the most common differential diagnoses for each chief complaint and summarize the history and physical examination findings, along with the laboratory and diagnostic studies indicated. Differential Diagnosis tables offer an at-a-glance summary of possible diagnoses. Reordered table of contents, organized alphabetically by patient problem rather than by body system, simplifies and accelerates information retrieval. A list of chapters by body system is also included for reference. Three new chapters: Chapter 23: Palpitations Chapter 36: Weight Loss/Gain (Unintentional) Chapter 38: The Abdominal X-ray Additional Evidence-Based Practice boxes provide additional research-based tips on conducting the most effective exams for more accurate diagnoses.
Download or read book Oxford Handbook of Clinical Diagnosis written by Huw Llewelyn and published by Oxford University Press, USA. This book was released on 2014 with total page 683 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook describes the diagnostic process clearly and logically, aiding medical students and others who wish to improve their diagnostic performance and to learn more about the diagnostic process.
