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Physicians' prism: illuminating history with structured expertise
1Department of Diagnostic and Generalist Medicine, Dokkyo Medical University, Tochigi, Japan.
Abstract:
Enhancing the resolution of patient history is crucial for accurate diagnosis and improving patient outcomes. This paper introduces the "GREAT PRISM" strategy, a framework to eliminate barriers to reconstructing comprehensive patient history. Grounded in Grid analysis, the analysis organizes patient information along temporal and symptomatic axes to achieve high-resolution narratives for reaching an accurate diagnosis. Techniques such as identifying missing information, uncovering hidden histories, and dissecting temporal patterns are explored. While emphasizing cognitive forcing strategies and practical applications, this method bridges the gap between traditional practices and modern diagnostic approaches, fostering precision in diagnostic excellence from the point-of-care perspective.
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