Boca Raton: CRC Press, 2017. — 387 p.
Despite diagnosis being the key feature of a physician's clinical performance, this is the first book that deals specifically with the topic. In recent years, however, considerable interest has been shown in this area and significant developments have occurred in two main areas : a) an awareness and increasing understanding of the critical role of clinical decision making in the process of diagnosis, and of the multiple factors that impact it, and b) a similar appreciation of the role of the healthcare system in supporting clinicians in their efforts to make accurate diagnoses. Although medicine has seen major gains in knowledge and technology over the last few decades, there is a consensus that the diagnostic failure rate remains in the order of 10-15%. This book provides an overview of the major issues in this area, in particular focusing on where the diagnostic process fails, and where improvements might be made.
Models of diagnosis --
What is diagnosis?
Medical decision making
Modern cognitive approaches to the diagnostic process
Informal and alternative approaches to diagnosis
Alternatives to conventional medical diagnosis
Complementary and alternative medicine
The elements of reasoning
Stone age minds in modern medicine : ancient footprints everywhere
Cognitive and affective biases, and logical failures
The rational diagnostician
Individual variability in clinical decision making and diagnosis
Challenges and controversies in diagnosis
Diagnostic error
The role of the healthcare system in diagnostic success or failure
Do teams make better diagnoses?
How much diagnosis can we afford?
The fix
Medical education and the diagnostic process
Cognitive bias mitigation: becoming better diagnosticians
Diagnostic support from information technology
What is the patient's role in diagnosis?
Appendix A. cognitive biases
Appendix B. logical fallacies.