Reflecting on Diagnostic Errors: Taking a Second Look is Not Enough.

ABSTRACT:

Background

An experimenter controlled form of reflection has been shown to improve the detection and correction of diagnostic errors in some situations; however, the benefits of participant-controlled reflection have not been assessed.

Objective

The goal of the current study is to examine how experience and a self-directed decision to reflect affect the accuracy of revised diagnoses.

Design

Medical residents diagnosed 16 medical cases (pass 1). Participants were then given the opportunity to reflect on each case and revise their diagnoses (pass 2).

Participants

Forty-seven medical Residents in post-graduate year (PGY) 1, 2 and 3 were recruited from Hamilton Health Care Centres.

Main measures

Diagnoses were scored as 0 (incorrect), 1 (partially correct) a

SUBMITTER: Monteiro SD 

PROVIDER: S-EPMC4539330 | biostudies-literature | 2015 Sep

REPOSITORIES: biostudies-literature