Situativity: a family of social cognitive theories for understanding clinical reasoning and diagnostic error

被引：41
|
作者：
Merkebu, Jerusalem [1 ]
Battistone, Michael [2 ]
McMains, Kevin [1 ]
McOwen, Kathrine [3 ]
Witkop, Catherine [4 ]
Konopasky, Abigail [5 ]
Torre, Dario [1 ]
Holmboe, Eric [6 ]
Durning, Steven J. [1 ]
机构：
[1] Uniformed Serv Univ Hlth Sci USUHS, 4301 Jones Bridge Rd, Bethesda, MD 20814 USA
[2] Univ Utah, Hlth Sci Ctr, Dept Med,Div Rheumatol, George E Wahlen Vet Affairs Salt Lake City Hlth C, Salt Lake City, UT 84132 USA
[3] Uniformed Serv Univ Hlth Sci USUHS, Assoc Amer Med Coll AAMC, Bethesda, MD 20814 USA
[4] Uniformed Serv Univ Hlth Sci USUHS, Obstet Gynecol & Prevent Med, Bethesda, MD 20814 USA
[5] Uniformed Serv Univ Hlth Sci USUHS, Henry M Jackson Fdn Adv Mil Med, Bethesda, MD 20814 USA
[6] Uniformed Serv Univ Hlth Sci USUHS, Accreditat Council Grad Med Educ ACGME, Chicago, IL USA
来源：
DIAGNOSIS | 2020年 / 7卷 / 03期
基金：
英国医学研究理事会; 英国经济与社会研究理事会;
关键词：
clinical reasoning; complexity; diagnostic error; distributed cognition; ecological psychology; embodied cognition; situated cognition; situativity; social cognitive theory; SCRIPT CONCORDANCE TEST; EMBODIED COGNITION; DISTRIBUTED COGNITION; PHYSICIANS; CONTEXT;
D O I：
10.1515/dx-2019-0100
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The diagnostic error crisis suggests a shift in how we view clinical reasoning and may be vital for transforming how we view clinical encounters. Building upon the literature, we propose clinical reasoning and error are context-specific and proceed to advance a family of theories that represent a model outlining the complex interplay of physician, patient, and environmental factors driving clinical reasoning and error. These contemporary social cognitive theories (i.e. embedded cognition, ecological psychology, situated cognition, and distributed cognition) can emphasize the dynamic interactions occurring amongst participants in particular settings. The situational determinants that contribute to diagnostic error are also explored.
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页码：169 / 176
页数：8
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