[Diagnostic error and overdiagnosis in Primary Care. Proposals for the improvement of clinical practice family medicine].
El error diagnóstico y sobrediagnóstico en Atención Primaria. Propuestas para la mejora de la práctica clínica en medicina de familia.
Atención primaria
Cognitive bias
Diagnosis error
Error diagnóstico
Family medicine
Medicina de familia
Overdiagnosis
Patient safety
Primary care
Seguridad del paciente
Sesgo cognitivo
Sobrediagnóstico
Journal
Atencion primaria
ISSN: 1578-1275
Titre abrégé: Aten Primaria
Pays: Spain
ID NLM: 9111075
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
received:
11
09
2021
accepted:
13
09
2021
entrez:
28
12
2021
pubmed:
29
12
2021
medline:
27
1
2022
Statut:
ppublish
Résumé
Family doctors see a wide range of patients, with a wide range of complexity, in a short time and with few diagnostic resources. This situation makes primary care professionals more vulnerable to diagnostic errors. For this reason, an adequate clinical reasoning process is the most powerful tool family doctors have to safely guide the patient care process. Considering these errors as missed opportunities for a correct diagnosis, which may cause harm to the patient, leads us as professionals to review how to improve this process. The review includes, among other aspects, identifying cognitive biases, analysing the ways in which work is organised in primary care teams, and situations in the care context that may contribute to such errors. In this article we describe the most frequent diagnostic errors and their causal factors in primary care, the impact of cognitive process failures, situations of overdiagnosis and the diagnostic and therapeutic cascades associated with them. Finally, we propose a set of tools to improve decision-making in the diagnostic process in primary care.
Identifiants
pubmed: 34961577
pii: S0212-6567(21)00261-4
doi: 10.1016/j.aprim.2021.102227
pmc: PMC8721341
pii:
doi:
Types de publication
Journal Article
Review
Langues
spa
Sous-ensembles de citation
IM
Pagination
102227Informations de copyright
Copyright © 2021 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.
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