How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care.

ABSTRACT:

Objectives

The quest to measure and improve diagnosis has proven challenging; new approaches are needed to better understand and measure key elements of the diagnostic process in clinical encounters. The aim of this study was to develop a tool assessing key elements of the diagnostic assessment process and apply it to a series of diagnostic encounters examining clinical notes and encounters' recorded transcripts. Additionally, we aimed to correlate and contextualise these findings with measures of encounter time and physician burnout.

Design

We audio-recorded encounters, reviewed their transcripts and associated them with their clinical notes and findings were correlated with concurrent Mini Z Worklife measures and physician burnout.

Setting

Three primary urgent-care

SUBMITTER: Khazen M 

PROVIDER: S-EPMC10163453 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature