Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Physicians' misunderstanding of normal findings.

J J Christensen-Szalanski, J B Bushyhead

    Medical Decision Making : an International Journal of the Society for Medical Decision Making
    |January 1, 1983
    PubMed
    Summary

    Normal findings in cough patients are highly predictive of pneumonia, yet clinicians often overlook them. Integrating both normal and abnormal signs improves diagnostic efficiency for acute cough.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    On the significance of judgment studies.

    Medical decision making : an international journal of the Society for Medical Decision Making·1988
    Same author

    Circumcision and informed consent. Is more information always better?

    Medical care·1987
    Same author

    The accuracy of tuberculin skin tests: self-assessment by adult outpatients.

    Public health reports (Washington, D.C. : 1974)·1985
    Same author

    Patient compliance behavior: the effects of time on patients' values of treatment regimens.

    Social science & medicine (1982)·1985
    Same author

    Discount functions and the measurement of patients' values. Women's decisions during childbirth.

    Medical decision making : an international journal of the Society for Medical Decision Making·1984
    Same author

    The effect of chest radiographs on the management and clinical course of patients with acute cough.

    Medical care·1983

    Area of Science:

    • Clinical Medicine
    • Diagnostic Accuracy
    • Respiratory Medicine

    Background:

    • Quantitative assessment of normal test results can be valuable in differential diagnosis.
    • The principle of normal findings has been extended to include clinical signs and symptoms.

    Purpose of the Study:

    • To evaluate the clinical value of normal signs and symptoms in diagnosing radiographic pneumonia in patients with acute cough.
    • To assess clinicians' utilization of normal versus abnormal findings in managing acute cough.

    Main Methods:

    • Analysis of normal and abnormal findings in a patient population presenting with acute cough.
    • Statistical evaluation of the predictive value of normal findings for radiographic pneumonia.
    • Observation of clinicians' diagnostic approaches, focusing on the use of normal and abnormal findings.

    Main Results:

    • Normal findings provided significant predictive information for radiographic pneumonia (p < 0.001) in acute cough patients.
    • This predictive information from normal findings was independent of that from abnormal findings.
    • Clinicians significantly utilized abnormal findings (p < 0.001) but largely ignored normal findings (p > 0.75).

    Conclusions:

    • Both normal and abnormal findings should be integrated for efficient diagnosis of pneumonia in acute cough.
    • Clinicians' underutilization of normal findings may stem from cognitive biases and patient/epidemiological factors.
    • Further research is needed to address cognitive barriers and improve the recognition of pertinent normal findings in clinical practice.

    Related Experiment Videos