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The Keyword Effect: A Grounded Theory Study Exploring the Role of Keywords in Clinical Communication
Michael W Chan1,2, Walter J Eppich1
1Ann & Robert H. Lurie Children's Hospital of Chicago Northwestern University Feinberg School of Medicine Chicago IL.
Medical keywords facilitate efficient communication and cultural connection among physicians. However, their use may lead to misinterpretation and diagnostic bias, necessitating careful consideration in clinical practice.
Area of Science:
- Medical communication
- Clinical reasoning
- Healthcare culture
Background:
- Keywords, or
Purpose of the Study:
- To explore physicians' perceptions of keyword usage in clinical communication.
- To understand the impact of keywords on patient care and medical error.
Main Methods:
- Grounded theory approach using semistructured interviews.
- Purposive sampling of 15 physicians in a pediatric emergency department.
- Constant comparative analysis of emergent themes.
Main Results:
- Keywords are integral to medical culture, fostering shared understanding and efficient communication.
- They encapsulate complex clinical patterns, aiding rapid diagnosis and thought process sharing.
- Keywords can introduce bias and lead to misinterpretation if misapplied.
Conclusions:
- Keywords are more than descriptors; they activate diagnostic scripts and are embedded in medical language.
- Physicians must balance the efficiency of keywords with the risk of miscommunication and error.
- Awareness of potential negative effects is crucial for accurate clinical conversations.
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