商品簡介
Despite diagnosis being the key feature of a physician's clinical performance, this is the first book that deals specifically with the topic. In recent years, however, considerable interest has been shown in this area and significant developments have occurred in two main areas: a) an awareness and increasing understanding of the critical role of clinical decision making in the process of diagnosis, and of the multiple factors that impact it, and b) a similar appreciation of the role of the healthcare system in supporting clinicians in their efforts to make accurate diagnoses. Although medicine has seen major gains in knowledge and technology over the last few decades, there is a consensus that the diagnostic failure rate remains in the order of 10-15%. This book provides an overview of the major issues in this area, in particular focusing on where the diagnostic process fails, and where improvements might be made.
作者簡介
Pat Croskerry is Professor of Emergency Medicine and in the Division of Medical Education at Dalhousie University in Halifax, Nova Scotia, Canada. He holds a PhD in Experimental Psychology, and fellowship training in Clinical Psychology. His main interest lies in patient safety and in clinical decision making in particular, especially on the impact of various cognitive and affective biases on the diagnostic process. He has lectured widely at national and international levels. He was a member of the organizing committee of the first conference on Diagnostic Error in Phoenix, Arizona in 2008, and of the Los Angeles conference in 2009. He has published over 50 articles and 24 book chapters in the area of patient safety, and medical education reform. He is senior editor on a major text Patient Safety in Emergency Medicine published in 2008. In the last 15 years he has given over 400 invited presentations in the areas of healthcare safety and diagnostic failure at provincial, national and international levels. Mark Graber is Professor of Medicine and Associate Chair of the Department of Medicine at the State University of New York at Stony Brook, and Chief of Medical Service at the VA Medical Center, Northport NY. With Ilene Corina of Long Island, Dr Graber was the architect of "Patient Safety Awareness Week", now recognized internationally during the second week of March. His major research interests center on diagnostic errors in medicine, and his work was amongst the first calling attention to this glaring patient safety problem. He co-chaired the first national conferences dedicated to this topic, "Diagnostic Error in Medicine" in 2008 (Phoenix) again 2009 (Los Angeles), and again this year (2010) in Toronto, Canada. He has authored some of the seminal work regarding diagnostic error and lectures widely on this topic nationally. Hardeep Singh is Assistant Professor of Medicine at the Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine and a Research Scientist at the Houston VA Health Services Research and Development Center of Excellence. He is a nationally recognized expert in improving patient safety through electronic medical records and on using health information technology to identify and reduce diagnostic errors. Dr. Singh is also the Director of the Center of Inquiry to Improve Outpatient Safety through Effective Electronic Communication, funded by the VA National Center for Patient Safety. This center uses a multidisciplinary approach including human factors engineering to improve systems of communication through the VA's electronic medical record. Additionally, he is funded through federal grants from the AHRQ and NIH for patient safety related research and implementation activities. Dr. Singh has significant expertise in the study of medical errors, patient safety, and health care quality, including translating aviation safety practices to health care and evaluating system and provider factors that lead to diagnostic errors in health care. He has participated in several national expert committees and invited conferences on diagnostic errors.
