History information management strategy for minimising biases and noise for improved medical diagnosis

Despite measures for physicians’ excellence in diagnosis, the need for improvement of medical history techniques has been pointed out as one of the critical elements for improving diagnosis. Specific and proactive frameworks related to methods of effective history acquisition are needed to minimise...

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Main Authors: Taro Shimizu, Itiel E Dror
Format: Article
Language:English
Published: BMJ Publishing Group 2023-09-01
Series:BMJ Open Quality
Online Access:https://bmjopenquality.bmj.com/content/12/3/e002367.full
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author Taro Shimizu
Itiel E Dror
author_facet Taro Shimizu
Itiel E Dror
author_sort Taro Shimizu
collection DOAJ
description Despite measures for physicians’ excellence in diagnosis, the need for improvement of medical history techniques has been pointed out as one of the critical elements for improving diagnosis. Specific and proactive frameworks related to methods of effective history acquisition are needed to minimise bias and optimise decision-making. Therefore, this paper uses Linear Sequential Unmasking- Expanded to develop and propose a structured medical history acquisition strategy. The strength of this lies in its reliance on cognitive psychological processes. Breaking information gatherings and decisions into smaller tasks and ordering them correctly reduces cognitive load as well as minimises noise and bias cascade. Additionally, this approach can help physicians develop diagnostic expertise regardless of specialty.
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spelling doaj.art-ec0b5e743c5148a2a00826eb0554d6572023-10-03T10:30:07ZengBMJ Publishing GroupBMJ Open Quality2399-66412023-09-0112310.1136/bmjoq-2023-002367History information management strategy for minimising biases and noise for improved medical diagnosisTaro Shimizu0Itiel E Dror1Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Shimotsuga-gun, JapanCognitive Consultants International (CCI-HQ), London, UKDespite measures for physicians’ excellence in diagnosis, the need for improvement of medical history techniques has been pointed out as one of the critical elements for improving diagnosis. Specific and proactive frameworks related to methods of effective history acquisition are needed to minimise bias and optimise decision-making. Therefore, this paper uses Linear Sequential Unmasking- Expanded to develop and propose a structured medical history acquisition strategy. The strength of this lies in its reliance on cognitive psychological processes. Breaking information gatherings and decisions into smaller tasks and ordering them correctly reduces cognitive load as well as minimises noise and bias cascade. Additionally, this approach can help physicians develop diagnostic expertise regardless of specialty.https://bmjopenquality.bmj.com/content/12/3/e002367.full
spellingShingle Taro Shimizu
Itiel E Dror
History information management strategy for minimising biases and noise for improved medical diagnosis
BMJ Open Quality
title History information management strategy for minimising biases and noise for improved medical diagnosis
title_full History information management strategy for minimising biases and noise for improved medical diagnosis
title_fullStr History information management strategy for minimising biases and noise for improved medical diagnosis
title_full_unstemmed History information management strategy for minimising biases and noise for improved medical diagnosis
title_short History information management strategy for minimising biases and noise for improved medical diagnosis
title_sort history information management strategy for minimising biases and noise for improved medical diagnosis
url https://bmjopenquality.bmj.com/content/12/3/e002367.full
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