‘More than words’ – Interpersonal communication, cognitive bias and diagnostic errors

Patient Education and Counseling - Tập 105 - Trang 252-256 - 2022
Maria R. Dahm1, Maureen Williams2, Carmel Crock3
1Institute for Communication in Health Care (ICH), College of Arts and Social Sciences, Australian National University, Canberra, Australia
2Patient Advocate, Sydney, Australia
3Royal Victorian Eye and Ear Hospital, Melbourne, Australia

Tài liệu tham khảo

Ofri, 2017 National Academies of Science Engineering & Medicine (NASEM). Improving diagnosis in health care. Washington DC: NASEM; 2015. Graber, 2005, Diagnostic error in internal medicine, Arch Intern Med, 165, 1493, 10.1001/archinte.165.13.1493 Singh, 2013, Types and origins of diagnostic errors in primary care settings, JAMA Intern Med, 173, 418, 10.1001/jamainternmed.2013.2777 Hussain, 2019, Diagnostic error in the emergency department: learning from national patient safety incident report analysis, BMC Emerg Med, 19, 77, 10.1186/s12873-019-0289-3 Street, 2020, How communication “failed” or “saved the day”: counterfactual accounts of medical errors, J Patient Exp, 7, 1247, 10.1177/2374373520925270 Pelaccia, 2020, Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution, Patient Educ Couns, 103, 1650, 10.1016/j.pec.2020.02.039 Singh, 2019, Measures to improve diagnostic safety in clinical practice, J Patient Saf, 15, 311, 10.1097/PTS.0000000000000338 L Slawomirski, A Auraaen, NS Klazinga. The economics of patient safety. Strengthening a value-based approach to reducing patient harm at national level; 2017. 〈https://www.oecd.org/els/health-systems/The-economics-of-patient-safety-March-2017.pdf〉. [Accessed February 2021]. Croskerry, 2003, The importance of cognitive errors in diagnosis and strategies to minimize them, Acad Med J Assoc Am Med Coll, 78, 775, 10.1097/00001888-200308000-00003 Graber, 2013, The incidence of diagnostic error in medicine, BMJ Qual Saf, 22, ii21, 10.1136/bmjqs-2012-001615 K Moran, W Jammal. Avant research reveals factors underlying diagnostic error claims; 2018. 〈www.avant.org.au/diagnostic-error-claims/〉. [Accessed February 2021]. Kassirer, 1989, Cognitive errors in diagnosis: instantiation, classification, and consequences, Am J Med, 86, 433, 10.1016/0002-9343(89)90342-2 O’Sullivan, 2018, Cognitive bias in clinical medicine, J R Coll Physicians Edinb, 48, 225, 10.4997/jrcpe.2018.306 Howard, 2018 Croskerry, 2015, When I say… cognitive debiasing, Med Educ, 49, 656, 10.1111/medu.12670 Croskerry, 2013, Cognitive debiasing 1: origins of bias and theory of debiasing, BMJ Qual Saf, 22, ii58, 10.1136/bmjqs-2012-001712 Beckman, 1984, The effect of physician behavior on the collection of data, Ann Intern Med, 101, 692, 10.7326/0003-4819-101-5-692 Singh Ospina, 2019, Eliciting the patient’s agenda- secondary analysis of recorded clinical encounters, J Gen Intern Med, 34, 36, 10.1007/s11606-018-4540-5 Mishler, 1984 Barry, 2001, Giving voice to the lifeworld. More humane, more effective medical care? A qualitative study of doctor–patient communication in general practice, Soc Sci Med, 53, 487, 10.1016/S0277-9536(00)00351-8 Efthimiou, 2006, Diagnosis and management of adult onset Still’s disease, Ann Rheum Dis, 65, 564, 10.1136/ard.2005.042143 R Awdish. In shock: how nearly dying made me a better intensive care doctor, random house; 2018. Good Life Project [podcast]. Choosing not to die, when doctor becomes patient - Dr. Rana Awdish; 2018. 〈https://www.goodlifeproject.com/podcast/dr-rana-awdish/〉. [Accessed February 2021]. Langewitz, 2002, Spontaneous talking time at start of consultation in outpatient clinic: cohort study, BMJ, 325, 682, 10.1136/bmj.325.7366.682 Goddu, 2018, Do words matter? Stigmatizing language and the transmission of bias in the medical record, J Gen Intern Med, 33, 685, 10.1007/s11606-017-4289-2 Dyer, 2019, GP who downplayed symptoms of boy who died from Addison’s disease is suspended, BMJ, 367 Office of Safety and Quality in Heakth Care Westerns Australian Department of Health. From Death we learn 'speak for the dead to protect the living'*; 2007. 〈https://ww2.health.wa.gov.au/-/media/Files/Corporate/Reports-and-publications/PDF/deathwelearn2007.pdf〉. [Accessed February 2021]. Coroners Court of New South Wales. Inquest into the Death of Jessica Martin; 2015. 〈https://coroners.nsw.gov.au/coroners-court/download.html/documents/findings/2015/Jessica%20Martin%20Findings.pdf〉. [Accessed August 2020]. Coroners Court of New South Wales, Inquest into the Death of Kyran Day. 2016. 〈https://coroners.nsw.gov.au/coroners-court/download.html/documents/findings/2016/DAY%20Kyran%20Findings.pdf〉. [Accessed August 2020]. Clinical Excellence Commission NSW. CEC - day family video - May 2017; 2017. 〈https://www.youtube.com/watch?v=3gxsCgOpThQ〉. [Accessed February 2021]. Graber, 2012, Cognitive interventions to reduce diagnostic error: a narrative review, BMJ Qual. Saf., 21, 535, 10.1136/bmjqs-2011-000149 Croskerry, 2013, Cognitive debiasing 2: impediments to and strategies for change, BMJ Qual. Saf., 22, ii65, 10.1136/bmjqs-2012-001713 Wright, 2019, What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives, Diagnosis, 6, 325, 10.1515/dx-2018-0104 Clinical Excellence Commission NSW. Take 2 - think, do information for clinicians; 2015. 〈http://cec.health.nsw.gov.au/__data/assets/pdf_file/0008/305846/Take-2-Think,-Do-Information-for-Clinicians.pdf〉. [Accessed February 2021]. ACSQHC, 2017 National Patient Safety Foundation’s Lucian Leape Institute. Safety is personal: partnering with patients and families for the safest care. Boston, MA: National Patient Safety Foundation; 2014. World Health Organisation (WHO). World alliance for patient safety. research priority setting working group, world alliance for patient safety - summary of the evidence on patient safety: implications for research; 2008. 〈http://apps.who.int/iris/handle/10665/43874〉. [Accessed February 2021]. Epstein, 2006, Making communication research matter: What do patients notice, what do patients want, and what do patients need?, Patient Educ Couns, 60, 272, 10.1016/j.pec.2005.11.003 Singh, 2020, Operational measurement of diagnostic safety: state of the science, Diagnosis Clinical Excellence Commission NSW, REACH. 2017. 〈http://cec.health.nsw.gov.au/keep-patients-safe/Deteriorating-patients/reach〉. [Accessed February 2021]. Clinical Excellence Commission Queensland, Ryan's Rule. 2019. 〈https://clinicalexcellence.qld.gov.au/priority-areas/safety-and-quality/ryans-rule〉. [Accessed April 2021]. Dahm, 2019, Interaction and innovation: practical strategies for inclusive consumer-driven research in health services, BMJ Open, 9, 10.1136/bmjopen-2019-031555