Improving diagnosis by improving education: a policy brief on education in healthcare professions

Abstract: Diagnostic error is increasingly recognized as a major patient safety concern. Efforts to improve diagnosis have largely focused on safety and quality improvement initiatives that patients, providers, and health care organizations can take to improve the diagnostic process and its outcomes. This educational policy brief presents an alternative strategy for improving diagnosis, centered on future healthcare providers, to improve the education and training of clinicians in every health care profession. The hypothesis is that we can improve diagnosis by improving education. A literature search was first conducted to understand the relationship of education and training to diagnosis and diagnostic error in different health care professions. Based on the findings from this search we present the justification for focusing on education and training, recommendations for specific content that should be incorporated to improve diagnosis, and recommendations on educational approaches that should be used. Using an iterative, consensus-based process, we then developed a driver diagram that categorizes the key content into five areas. Learners should: 1) Acquire and effectively use a relevant knowledge base, 2) Optimize clinical reasoning to reduce cognitive error, 3) Understand system-related aspects of care, 4) Effectively engage patients and the diagnostic team, and 5) Acquire appropriate perspectives and attitudes about diagnosis. These domains echo recommendations in the National Academy of Medicine’s report Improving Diagnosis in Health Care. The National Academy report suggests that true interprofessional education and training, incorporating recent advances in understanding diagnostic error, and improving clinical reasoning and other aspects of education, can ultimately improve diagnosis by improving the knowledge, skills, and attitudes of all health care professionals.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Improving diagnosis by improving education: a policy brief on education in healthcare professions ; volume:5 ; number:3 ; year:2018 ; pages:107-118 ; extent:12
Diagnosis ; 5, Heft 3 (2018), 107-118 (gesamt 12)

Urheber
Graber, Mark L.
Rencic, Joseph
Rusz, Diana
Papa, Frank
Croskerry, Pat
Zierler, Brenda
Harkless, Gene
Giuliano, Michael
Schoenbaum, Stephen
Colford, Cristin
Cahill, Maureen
Olson, Andrew P.J.

DOI
10.1515/dx-2018-0033
URN
urn:nbn:de:101:1-2412011704332.894535333735
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:28 MESZ

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Beteiligte

  • Graber, Mark L.
  • Rencic, Joseph
  • Rusz, Diana
  • Papa, Frank
  • Croskerry, Pat
  • Zierler, Brenda
  • Harkless, Gene
  • Giuliano, Michael
  • Schoenbaum, Stephen
  • Colford, Cristin
  • Cahill, Maureen
  • Olson, Andrew P.J.

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