The new diagnostic team

Author:

Graber Mark L.1234,Rusz Diana5,Jones Melissa L.6,Farm-Franks Diana7,Jones Barbara8,Cyr Gluck Jeannine9,Thomas Dana B.10,Gleason Kelly T.11,Welte Kathy12,Abfalter Jennifer13,Dotseth Marie12,Westerhaus Kathleen14,Smathers Josanne15,Adams Ginny16,Laposata Michael17,Nabatchi Tina18,Compton Margaret19,Eichbaum Quentin20

Affiliation:

1. Society to Improve Diagnosis , New York , NY, USA

2. 5 Hitching Post, Plymouth , MA 02360 , USA

3. RTI International , Research Triangle Park, NC , USA

4. Stony Brook University , New York , USA

5. Society to Improve Diagnosis in Medicine , Chicago, IL , USA

6. Sr. Performance Improvement Clinical Consultant; CentraCare Health , St Cloud, MN , USA

7. Senior Clinical Analyst; Fairview Health Services , Minneapolis, MN , USA

8. Library Engagement/Missouri Coordinator; National Network of Libraries of Medicine, Mid Continental Region , Columbia, MO , USA

9. Director Library and Knowledge Services, Middlesex Hospital , Middletown, CT , USA

10. WakeMed Health and Hospitals , Raleigh, NC , USA

11. Johns Hopkins School of Nursing , Baltimore, MD , USA

12. Minnesota Alliance for Patient Safety , Minneapolis, MN , USA

13. Clinical Nurse Specialist; Meeker Memorial Hospital , Litchfield, MN , USA

14. Westerhaus Consulting , Minneapolis, MN , USA

15. Office of Academic Affairs, and Hospital–Based Services , University of Texas Medical Branch (UTMB) , Galveston, TX , USA

16. Coverys , East Lansing, MI , USA

17. University of Texas Medical Branch , Galveston, TX , USA

18. Maxwell School of Citizenship and Public Affairs , Syracuse University , Syracuse, NY , USA , E-mail:

19. Department of Pathology, Microbiology, and Immunology , Vanderbilt University Medical Center , Nashville, TN , USA

20. 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:

Abstract

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.

Publisher

Walter de Gruyter GmbH

Subject

Biochemistry (medical),Clinical Biochemistry,Public Health, Environmental and Occupational Health,Health Policy,Medicine (miscellaneous)

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