心理健康的诊断错误:一个审查
Andrea Bradford1,2, Ashley N D Meyer3,2, Sundas Khan2
1Department of Medicine, Baylor College of Medicine, Houston, TX, USA Andrea.Bradford@bcm.edu.
BMJ quality & safety
|April 4, 2024
概括
心理健康的诊断错误很常见,但定义和测量不够好. 未来的研究应该集中在识别错过的诊断机会,以改善患者的安全和结果.
科学领域:
- 心理健康研究 心理健康研究
- 诊断安全科学 诊断安全科学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 诊断错误显著影响患者的伤害和结果.
- 在国家诊断错误研究工作中,精神健康诊断的代表性不足.
- 清楚地了解诊断错误对于改善心理健康护理至关重要.
研究的目的:
- 总结关于心理健康诊断错误的当前研究.
- 确定将未来研究与诊断安全科学结合在一起的机会.
- 解决心理健康诊断错误的定义和测量方面缺乏共识的问题.
主要方法:
- 对定义和测量诊断错误的概念考虑的审查.
- 这些概念应用于心理健康环境.
- 分析精神健康领域最近的诊断错误研究中的方法和主题.
主要成果:
- 诊断错误被认为是精神卫生保健中的一个重大问题.
- 很少有研究对心理健康的诊断错误使用了明确的定义或框架.
- 研究发现了常见精神障碍的错过,错误和延迟诊断.
结论:
- 在概念化,定义和测量诊断错误方面缺乏共识,阻碍了进步.
- 需要进一步的研究来确定精神障碍中可预防的诊断错误.
- 专注于错过的诊断机会可以揭示心理健康护理的普遍化改进.
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