Imagining the future of diagnostic performance feedback

被引:6
|
作者
Rosner, Benjamin, I [1 ,2 ]
Zwaan, Laura [3 ]
Olson, Andrew P. J. [4 ]
机构
[1] Univ Calif San Francisco, Div Hosp Med, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Ctr Clin Informat & Improvement Res, San Francisco, CA 94143 USA
[3] Erasmus MC, Inst Med Educ Res Rotterdam, Rotterdam, Netherlands
[4] Univ Minnesota, Minneapolis, MN USA
关键词
calibration; clinical reasoning; diagnostic performance; feedback; patient safety; ACCURACY;
D O I
10.1515/dx-2022-0055
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diagnostic performance is uniquely challenging to measure, and providing feedback on diagnostic performance to catalyze diagnostic recalibration remains the exception to the rule in healthcare. Diagnostic accuracy, timeliness, and explanation to the patient are essential dimensions of diagnostic performance that each intersect with a variety of technical, contextual, cultural, and policy barriers. Setting aside assumptions about current constraints, we explore the future of diagnostic performance feedback by describing the "minimum viable products" and the "ideal state" solutions that can be envisioned for each of several important barriers. Only through deliberate and iterative approaches to breaking down these barriers can we improve recalibration and continuously drive the healthcare ecosystem towards diagnostic excellence.
引用
收藏
页码:31 / 37
页数:7
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