The patient is in: patient involvement strategies for diagnostic error mitigation

McDonald, Kathryn M; Bryce, Cindy L.; Graber, Mark L.

doi:10.1136/bmjqs-2012-001623

Cited by 125 publications

(110 citation statements)

References 48 publications

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“…In diagnosis, what exactly is the goal, what exactly are we asking the patient to do, and what does shared decision-making look like [3]? Besides contributing to the timeliness and accuracy of establishing the diagnosis, engaged patients can act as their own safety net, helping to catch problems that might otherwise lead to harm [2].…”

Section: The Patientmentioning

confidence: 99%

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The new diagnostic team

et al. 2017

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Abstract:The National Academy of Medicine (NAM) in the recently issued report Improving Diagnosis in Health Care outlined eight major recommendations to improve the quality and safety of diagnosis. The #1 recommendation was to improve teamwork in the diagnostic process. This is a major departure from the classical approach, where the physician is solely responsible for diagnosis. In the new, patient-centric vision, the core team encompasses the patient, the physician and the associated nursing staff, with each playing an active role in the process. The expanded diagnostic team includes pathologists, radiologists, allied health professionals, medical librarians, and others. We review the roles that each of these team members will need to assume, and suggest "first steps" that each new team member can take to achieve this new dynamic.

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Section: The Patientmentioning

confidence: 99%

“…At the center of the diagnostic team is the patient [2,3]. In the new diagnostic team, the patient takes on an expanded role, best described as a partnership.…”

Section: The Patientmentioning

confidence: 99%

The new diagnostic team

et al. 2017

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“…From participation grows knowledge (Alden, 2014; Kane, 2014; Schmidt et al, 2015). There are several studies as well as patient testimonies pointing to the importance of patient participation and self-action in both diagnostic and treatment processes (deBronkart, 2011; McDonald, Bryce, & Graber, 2013). However, we argue, there is a need to design solutions as a whole and not look at each issue separately.…”

Section: Resultsmentioning

confidence: 99%

Exploring health navigating design: momentary contentment in a cancer context

Sandén

Harrysson

Thulesius

et al. 2017

International Journal of Qualitative Studies on Health and Well

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Purpose: The technocratic and medicalized model of healthcare is rarely optimal for patients. By connecting two different studies we explore the possibilities of increasing quality of life in cancer care. Methods: The first study captures survival strategies in a historically isolated Arctic village in Norway resulting in Momentary contentment theory, which emerged from analysing four years of participant observation and interview data. The second study conceptualizes everyday life of cancer patients based on in-depth interviews with 19 cancer patients; this was conceptualized as Navigating a new life situation. Both studies used classic grounded theory methodology. The connection between the studies is based on a health design approach. Results: We found a fit between cancer patients challenging life conditions and harsh everyday life in an Arctic village. Death, treatments and dependence have become natural parts of life where the importance of creating spaces-of-moments and a Sense of Safety is imminent to well-being. While the cancer patients are in a new life situation, the Arctic people show a natural ability to handle uncertainties. Conclusion: By innovation theories connected to design thinking, Momentary contentment theory modified to fit cancer care would eventually be a way to improve cancer patients’ quality of life.

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“…Until our healthcare systems reach much higher levels of reliability, this approach creates a safety net that could be invaluable in helping prevent errors in the first place, or catching them before they cause harm. The approach is in perfect sync with the growing appreciation of the value of patient-centered care, and the movement towards increasing patient engagement in all aspects of their care [10]. Evidence is growing that engaged patients have better outcomes; the question is whether patients themselves will view this involvement as an opportunity, or a burden.…”

Section: Diagnostic Teamsmentioning

confidence: 99%

The IOM report on improving diagnosis: new concepts

Graber

2015

Diagnosis

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Abstract:The IOM report 'Improving Diagnosis in Health Care' represents a major advance in summarizing the problem of diagnostic error. Three new concepts in the report will be helpful in future efforts to understand and improve the diagnostic process: a new definition of diagnostic error, a new framework for understanding the diagnostic process, and a new concept of the diagnostic 'team'. This paper highlights these new concepts and their relevance to improving diagnosis.

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The patient is in: patient involvement strategies for diagnostic error mitigation

Cited by 125 publications

References 48 publications

The new diagnostic team

The new diagnostic team

Exploring health navigating design: momentary contentment in a cancer context

The IOM report on improving diagnosis: new concepts

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