After several years attending the Conference of The Society to Improve Diagnosis in Medicine, there is a person who always comes to my mind when the subject is clinical reasoning. Dr. Gurpreet Dhaliwhal, an internist and Professor at UCLA-SF,
Differential diagnosis is considered key, but it is not common in practice
Medical textbooks have a section of differential diagnosis with a list of diseases usually very difficult to handle in the memory. All students, residents and professionals know their existence, but the practical utility is usually low because there is not information about key or differentiating data for comparison.
Emergency Departments are overcrowded in most Health Services around the world. In addition, the clinical decisions must be undertaken in a short time, due to the seriousness of the clinical environment and the continuous admission of patients. Therefore, we propose five actions that you can do in no more than ONE MINUTE and can help you to reach or discharge a diagnosis.
Resistance to change: a basis for error in Medicine
Most of the time humans are not happy to change a routine. There is also a feeling of safety when we work with electronic database thinking that, because computer are fast and efficient, we are going to be able to avoid errors. But, even with the best computer tool for data storage and retrieval the human factor is always present.