Collaborative Diagnostic Conversations Between Clinicians, Patients, and Their Families: A Way to Avoid Diagnostic Errors
Objective: To identify the components of the collaborative diagnostic conversations between clinicians, patients, and their families and how deficiencies in these conversations can lead to diagnostic errors. Patients and Methods: We purposively selected 60 video recordings of clinical encounters tha...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-08-01
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| Series: | Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S254245482300036X |
| _version_ | 1797744361445785600 |
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| author | Nataly R. Espinoza Suarez, MD Ian Hargraves, PhD Naykky Singh Ospina, MD, MSc Angela Sivly Andrew Majka, MD Juan P. Brito, MD, MSc |
| author_facet | Nataly R. Espinoza Suarez, MD Ian Hargraves, PhD Naykky Singh Ospina, MD, MSc Angela Sivly Andrew Majka, MD Juan P. Brito, MD, MSc |
| author_sort | Nataly R. Espinoza Suarez, MD |
| collection | DOAJ |
| description | Objective: To identify the components of the collaborative diagnostic conversations between clinicians, patients, and their families and how deficiencies in these conversations can lead to diagnostic errors. Patients and Methods: We purposively selected 60 video recordings of clinical encounters that included diagnosis conversations. These videos were obtained from the internal medicine, and family medicine services at Mayo Clinic’s campus in Rochester, Minnesota. These clinical encounters were recorded between November 2017, and December 2021, during the conduct of studies aiming at developing or testing shared decision-making interventions. We followed a critically reflective approach model for data analysis. Results: We identified 3 components of diagnostic conversations as follows: (1) recognizing diagnostic situations, (2) setting priorities, and (3) creating and reconciling a diagnostic plan. Deficiencies in diagnostic conversations could lead to framing issues in a way that sets diagnostic activities off in an incorrect or undesirable direction, incorrect prioritization of diagnostic concerns, and diagnostic plans of care that are not feasible, desirable, or productive. Conclusion: We identified 3 clinician-and-patient diagnostic conversation components and mapped them to potential diagnostic errors. This information may inform additional research to identify areas of intervention to decrease the frequency and harm associated with diagnostic errors in clinical practice. |
| first_indexed | 2024-03-12T15:08:40Z |
| format | Article |
| id | doaj.art-d92c3b5bcc8d48fab761c2544c4b69b5 |
| institution | Directory Open Access Journal |
| issn | 2542-4548 |
| language | English |
| last_indexed | 2024-03-12T15:08:40Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| spelling | doaj.art-d92c3b5bcc8d48fab761c2544c4b69b52023-08-12T04:34:37ZengElsevierMayo Clinic Proceedings: Innovations, Quality & Outcomes2542-45482023-08-0174291300Collaborative Diagnostic Conversations Between Clinicians, Patients, and Their Families: A Way to Avoid Diagnostic ErrorsNataly R. Espinoza Suarez, MD0Ian Hargraves, PhD1Naykky Singh Ospina, MD, MSc2Angela Sivly3Andrew Majka, MD4Juan P. Brito, MD, MSc5Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN; Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MNKnowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN; Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MNDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, FLKnowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN; Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MNMayo Clinic Emeritus consultant, Mayo Clinic, Rochester, MN; Correspondence: Address to Andrew Majka, MD, Mayo Clinic Emeritus consultant, Mayo Clinic, 200 First St SW, Rochester, MN 55902.Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN; Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MNObjective: To identify the components of the collaborative diagnostic conversations between clinicians, patients, and their families and how deficiencies in these conversations can lead to diagnostic errors. Patients and Methods: We purposively selected 60 video recordings of clinical encounters that included diagnosis conversations. These videos were obtained from the internal medicine, and family medicine services at Mayo Clinic’s campus in Rochester, Minnesota. These clinical encounters were recorded between November 2017, and December 2021, during the conduct of studies aiming at developing or testing shared decision-making interventions. We followed a critically reflective approach model for data analysis. Results: We identified 3 components of diagnostic conversations as follows: (1) recognizing diagnostic situations, (2) setting priorities, and (3) creating and reconciling a diagnostic plan. Deficiencies in diagnostic conversations could lead to framing issues in a way that sets diagnostic activities off in an incorrect or undesirable direction, incorrect prioritization of diagnostic concerns, and diagnostic plans of care that are not feasible, desirable, or productive. Conclusion: We identified 3 clinician-and-patient diagnostic conversation components and mapped them to potential diagnostic errors. This information may inform additional research to identify areas of intervention to decrease the frequency and harm associated with diagnostic errors in clinical practice.http://www.sciencedirect.com/science/article/pii/S254245482300036X |
| spellingShingle | Nataly R. Espinoza Suarez, MD Ian Hargraves, PhD Naykky Singh Ospina, MD, MSc Angela Sivly Andrew Majka, MD Juan P. Brito, MD, MSc Collaborative Diagnostic Conversations Between Clinicians, Patients, and Their Families: A Way to Avoid Diagnostic Errors Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| title | Collaborative Diagnostic Conversations Between Clinicians, Patients, and Their Families: A Way to Avoid Diagnostic Errors |
| title_full | Collaborative Diagnostic Conversations Between Clinicians, Patients, and Their Families: A Way to Avoid Diagnostic Errors |
| title_fullStr | Collaborative Diagnostic Conversations Between Clinicians, Patients, and Their Families: A Way to Avoid Diagnostic Errors |
| title_full_unstemmed | Collaborative Diagnostic Conversations Between Clinicians, Patients, and Their Families: A Way to Avoid Diagnostic Errors |
| title_short | Collaborative Diagnostic Conversations Between Clinicians, Patients, and Their Families: A Way to Avoid Diagnostic Errors |
| title_sort | collaborative diagnostic conversations between clinicians patients and their families a way to avoid diagnostic errors |
| url | http://www.sciencedirect.com/science/article/pii/S254245482300036X |
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