将团队科学带入门诊诊断过程:患者和临床医生如何开发共享的心理模型?
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
概括
将患者纳入门诊诊断团队可以改善沟通和协调. 在患者,家庭和临床医生之间开发共享的心理模型 (常见知识) 是提高诊断安全和团队表现的关键.
科学领域:
- 医疗保健 团队 科学 团队 科学
- 诊断过程改进 诊断过程改进
- 患者参与策略 患者参与策略
背景情况:
- 门诊诊断过程是复杂的,导致沟通中断和分散的护理.
- 患者和家属是诊断团队的关键成员,拥有独特的见解.
- 实现患者参与诊断的操作仍然是一个重大挑战.
研究的目的:
- 探索共享心理模型 (SMM) 在门诊诊断过程中的应用.
- 为患者和临床医生的诊断协作调整SMM的五因素模型.
- 提出一个框架,以促进患者和家人参与的诊断共享心理模型.
主要方法:
- 关于团队科学和共享心理模型的文献综述.
- 分析患者在诊断团队中的角色.
- 为诊断环境调整SMM的五因素模型.
主要成果:
- 分享的心理模型可以提高团队在各种环境中的表现和结果.
- 患者的独特地位为改善诊断团队功能提供了机会.
- 可以开发一个患者-临床医生诊断SMM的框架.
结论:
- 在患者,家庭和临床医生之间开发共享的心理模型可以提高参与度.
- 改善诊断团队的表现和患者安全是潜在的结果.
- 需要进一步的研究来运行和评估诊断SMM.
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