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Bringing team science to the ambulatory diagnostic process: how do patients and clinicians develop shared mental
Aubrey Samost-Williams1, Eric J Thomas2, Olivia Lounsbury3
1Anesthesiology, Critical Care, and Pain Medicine, 12340 The University of Texas Health Science Center at Houston , Houston, TX, USA.
Diagnosis (Berlin, Germany)
|October 20, 2024
Summary
Engaging patients in the ambulatory diagnostic team can improve communication and coordination. Developing shared mental models (commonly held knowledge) among patients, families, and clinicians is key to enhancing diagnostic safety and team performance.
Area of Science:
- Healthcare Team Science
- Diagnostic Process Improvement
- Patient Engagement Strategies
Background:
- The ambulatory diagnostic process is complex, leading to communication breakdowns and fragmented care.
- Patients and families are crucial members of the diagnostic team, possessing unique insights.
- Operationalizing patient engagement in diagnostics remains a significant challenge.
Purpose of the Study:
- To explore the application of shared mental models (SMMs) to the ambulatory diagnostic process.
- To adapt the five-factor model of SMMs for patient-clinician diagnostic collaboration.
- To propose a framework for fostering diagnostic shared mental models involving patients and families.
Main Methods:
- Literature review of team science and shared mental models.
- Analysis of the patient's role within the diagnostic team.
- Adaptation of the five-factor model of SMMs for the diagnostic context.
Main Results:
- Shared mental models enhance team performance and outcomes in various settings.
- Patients' unique position offers opportunities for improved diagnostic team function.
- A framework for patient-clinician diagnostic SMMs can be developed.
Conclusions:
- Developing shared mental models among patients, families, and clinicians can enhance engagement.
- Improved diagnostic team performance and patient safety are potential outcomes.
- Further research is needed to operationalize and evaluate diagnostic SMMs.
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