What strategies work best for clinician behavior change?

Map Branches

• Error Generation
  • Human Factors
    • What are the pathyways to expertise?
    • Cognitive Issues
      • Relevance of Type 1/Type 2 thinking
      • How to improve metacognition?
    • Overconfidence
      • How does this arise?
      • Degree of impact on dx accuracy
    • Communication breadowns
      • How to address this?
      • What is the role?
  • Epidemiology of dx error
    • What is prevalence?
    • What is cost burden?
    • What environmental factors contribute?
• Error Reduction
  • Understand contributing factors
    • What is the role of distraction?
  • How can systems errors be reduced?
    • What changes in the practice environment would help?
    • Is there a role for EMR/EHR vendors in error reduction?
  • How can decision tools be utilized?
    • What tools would be most effective to add?
    • How is the uptake of decision tools optimized?
  • What is a reasonable goal to set for the degree of "acceptable error"?
• Effective Educational Strategies
  • What strategies work best for clinician behavior change?
  • How best to integrate dx error education into medical school/residency curriculums?
  • How best to improve clinician self-awareness, self-assessment & metacognition?
• Research Methodologies
  • Taxonomy for dx error
    • What is an error?
    • What is the definition of dx delay?
  • Discovery of dx error
    • Autopsy studies
    • Other considerations?
  • Research tools for studying dx error
    • Standardized patients?
    • Electronic data?
    • Case scenarios?
    • Simulation?
  • Assessing dx error impact
    • Scale/scope of dx error
    • Cost burden of dx error

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