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Diagnosis (Berl). 2017 Nov 27;4(4):225-238. doi: 10.1515/dx-2017-0022.

The new diagnostic team.

Author information

1
Society to Improve Diagnosis, New York, NY, USA.
2
Society to Improve Diagnosis in Medicine, Chicago, IL, USA.
3
Sr. Performance Improvement Clinical Consultant; CentraCare Health, St Cloud, MN, USA.
4
Senior Clinical Analyst; Fairview Health Services, Minneapolis, MN, USA.
5
Library Engagement/Missouri Coordinator; National Network of Libraries of Medicine, Mid Continental Region, Columbia, MO, USA.
6
Director Library and Knowledge Services, Middlesex Hospital, Middletown, CT, USA.
7
WakeMed Health and Hospitals, Raleigh, NC, USA.
8
Johns Hopkins School of Nursing, Baltimore, MD, USA.
9
Minnesota Alliance for Patient Safety, Minneapolis, MN, USA.
10
Clinical Nurse Specialist; Meeker Memorial Hospital, Litchfield, MN, USA.
11
Westerhaus Consulting, Minneapolis, MN, USA.
12
Office of Academic Affairs, and Hospital-Based Services, University of Texas Medical Branch (UTMB), Galveston, TX, USA.
13
Coverys, East Lansing, MI, USA.
14
University of Texas Medical Branch, Galveston, TX, USA.
15
Maxwell School of Citizenship and Public Affairs, Syracuse University, Syracuse, NY, USA, E-mail: tnabatch@syr.edu.
16
Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA.
17
Department of Pathology, Microbiology and Immunology, Division of Transfusion Medicine, Department of Medical Education and Administration, Vanderbilt University Medical Center, Vanderbilt University School of Medicine, Nashville, TN, USA, E-mail: quentin.eichbaum@Vanderbilt.edu.

Abstract

The National Academy of Medicine (NAM) in the recently issued report Improving Diagnosis in Health Care outlined eight major recommendations to improve the quality and safety of diagnosis. The #1 recommendation was to improve teamwork in the diagnostic process. This is a major departure from the classical approach, where the physician is solely responsible for diagnosis. In the new, patient-centric vision, the core team encompasses the patient, the physician and the associated nursing staff, with each playing an active role in the process. The expanded diagnostic team includes pathologists, radiologists, allied health professionals, medical librarians, and others. We review the roles that each of these team members will need to assume, and suggest "first steps" that each new team member can take to achieve this new dynamic.

KEYWORDS:

diagnosis; diagnostic error; teamwork

PMID:
29536943
DOI:
10.1515/dx-2017-0022
[Indexed for MEDLINE]

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