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Risk and Reasoning in Clinical Diagnosis (Paperback)
Loot Price: R1,087
Discovery Miles 10 870
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Risk and Reasoning in Clinical Diagnosis (Paperback)
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Accurate diagnosis is the foundation of medical practice, but at
the start of the diagnostic process, uncertainty is inevitable. The
clinician's skills and cognitive attributes determine the quality
of the initial differential diagnosis and thus the crucial first
phases of investigation and treatment; mistakes are often
self-propagating. Diagnostic error is a major cause of avoidable
morbidity and mortality, and is the commonest reason for successful
litigation. Risk and Reasoning in Clinical Diagnosis is an
accessible and readable look at the diagnostic process. Dr. Cym
Ryle presents the insights and concepts developed in cognitive
psychology which have led to the consensus that in all domains
human reasoning is primarily driven by unconscious, intuitive
mechanisms; the contribution of structured, analytical thinking is
variable and inconsistent. He notes that the risk of error is
inseparable from these mechanisms. Dr. Ryle then develops a
description of the diagnostic process which encompasses its form,
strengths and fallibility, and illustrates this description with
examples from his work as a general practitioner. He argues that
improving diagnostic accuracy should be a priority, and that there
is sufficient evidence to guide changes in medical training, in
clinical practice, and in the culture and organisation of our
institutions. He identifies specific, practical steps that can be
taken by individual clinicians and by clinical teams, suggests
priorities for action in our institutions, and considers the
obstacles to progress.
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