Improving diagnosis: adding context to cognition.
diagnosis
physician burnout
work conditions
Journal
Diagnosis (Berlin, Germany)
ISSN: 2194-802X
Titre abrégé: Diagnosis (Berl)
Pays: Germany
ID NLM: 101654734
Informations de publication
Date de publication:
01 02 2023
01 02 2023
Historique:
received:
24
05
2022
accepted:
26
07
2022
pubmed:
20
8
2022
medline:
22
2
2023
entrez:
19
8
2022
Statut:
epublish
Résumé
The environment in which clinicians provide care and think about their patients is a crucial and undervalued component of the diagnostic process. In this paper, we propose a new conceptual model that links work conditions to clinician responses such as stress and burnout, which in turn impacts the quality of the diagnostic process and finally patient diagnostic outcomes. The mechanism for these interactions critically depends on the relationship between working memory (WM) and long-term memory (LTM), and ways WM and LTM interactions are affected by working conditions. We propose a conceptual model to guide interventions to improve work conditions, clinician reactions and ultimately diagnostic process, accuracy and outcomes. Improving diagnosis can be accomplished if we are able to understand, measure and increase our knowledge of the context of care.
Sections du résumé
BACKGROUND
The environment in which clinicians provide care and think about their patients is a crucial and undervalued component of the diagnostic process.
CONTENT
In this paper, we propose a new conceptual model that links work conditions to clinician responses such as stress and burnout, which in turn impacts the quality of the diagnostic process and finally patient diagnostic outcomes. The mechanism for these interactions critically depends on the relationship between working memory (WM) and long-term memory (LTM), and ways WM and LTM interactions are affected by working conditions.
SUMMARY
We propose a conceptual model to guide interventions to improve work conditions, clinician reactions and ultimately diagnostic process, accuracy and outcomes.
OUTLOOK
Improving diagnosis can be accomplished if we are able to understand, measure and increase our knowledge of the context of care.
Identifiants
pubmed: 35985033
pii: dx-2022-0058
doi: 10.1515/dx-2022-0058
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
4-8Informations de copyright
© 2022 Walter de Gruyter GmbH, Berlin/Boston.
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