文章基本信息

标题：Checklist of cognitive contributions to diagnostic errors: A tool for clinician-educators
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作者：J.M. Naude ; V.C. Burch
期刊名称：African Journal of Health Professions Education
出版年度：2018
卷号：10
期号：3
页码：153-158
语种：English
出版社：African journals online
摘要：Background. Experienced clinician-educators readily identify trainees making diagnostic errors, but lack pedagogic expertise to make educational diagnoses and provide feedback. Simple tools are needed to address this challenge.Objectives. To characterise cognitive contributions to diagnostic errors (CCDEs) that trainees make in patient encounters and examiners’ perceptions of a checklist to document and provide feedback on these errors.Methods. Thirty examiners used a 17-item checklist to document CCDEs made by medical residents failing patient encounters in a national specialist examination. A survey was used to explore examiners’ perceptions of the checklist to document and provide feedback on these errors.Results. There were 98/264 failed patient encounters (37%). Ninety-four completed checklists documented 691 CCDEs (median of 7 per encounter). Data synthesis was more problematic than data gathering, faulty knowledge or data interpretation (ppConclusions. A 17-item checklist identified three priority CCDEs requiring remediation and training in medical residency programmes: improving clinical skills; developing adequate illness scripts; and putting a case together. Examiners endorsed the use of the checklist and its potential to improve feedback and training, addressing CCDEs made by trainees.