How insight contributes to diagnostic excellence

Author:

Shimizu Taro1,Graber Mark2

Affiliation:

1. Dokkyo Medical University , Shimotsuga-gun , Tochigi , Japan

2. SIDM , Plymouth , MA , USA

Abstract

Abstract In the quest to improve diagnosis, a great deal of attention has already been focused on how to optimize clinical reasoning, and the importance of System 1 and System 2 processing. In this essay we consider the role of ‘insight’, a relatively overlooked pathway for arriving at the correct diagnosis. Insight refers to spontaneous emergence of the correct answer at some later point in time. We discuss factors that might facilitate insight, and how these could be incorporated into the diagnostic process.

Publisher

Walter de Gruyter GmbH

Subject

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

Reference25 articles.

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3. Committee on diagnostic error in health care; board on health care services; institute of medicine; the national academies of sciences E, and medicine. Improving diagnosis in health care, Balogh, EP, Miller, BT, Ball, JR, editors. Washington (DC): National Academies Press; 2015.

4. Klein, G. Seeing what others don’t: the remarkable ways we gain insights. New York: Public Affairs; 2013.

5. Shimizu, T, Tokuda, Y. Pivot and cluster strategy: a preventive measure against diagnostic errors. Int J Gen Med 2012;5:917–21. https://doi.org/10.2147/ijgm.s38805.

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