Strategies for improving diagnostic safety and clinical reasoning

Anales de pediatria Pub Date : 2025-04-01 Epub Date: 2025-04-16 DOI:10.1016/j.anpede.2025.503827

Pedro J. Alcalá Minagorre , María José Salmerón Fernández , Araceli Domingo Garau , Pilar Díaz Pernas , Cristina M. Nebot Marzal , Rosa M. Pino Ramírez , Aurora Madrid Rodríguez , en representación del Comité de Calidad Asistencial y Seguridad del Paciente. Asociación Española de Pediatría

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Abstract

Diagnostic safety failures cause up to 15% of adverse health care-related events, many of which have serious consequences. The nature of diagnostic errors is complex and involves individual factors, such as cognitive and availability biases, as well as factors related to organizations and work dynamics. Through this document, the Health Care Quality and Patient Safety Committee of the Asociación Española de Pediatría (Spanish Association of Pediatrics) offers an updated review of the bases of diagnostic error and its characteristics in different health care settings, and proposes strategies for improving diagnostic safety and clinical reasoning, including educational and care delivery aspects and the application of novel technological resources, such as those based on artificial intelligence.

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提高诊断安全性和临床推理的策略

诊断安全故障导致高达15%的不良卫生保健相关事件，其中许多具有严重后果。诊断错误的本质是复杂的，涉及个人因素，如认知和可用性偏差，以及与组织和工作动态相关的因素。通过该文件，Asociación Española de Pediatría（西班牙儿科协会）的卫生保健质量和患者安全委员会对不同卫生保健环境中诊断错误的基础及其特征进行了最新审查，并提出了改善诊断安全和临床推理的策略，包括教育和护理提供方面以及基于人工智能的新技术资源的应用。

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Anales de pediatria

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审稿时长

20 weeks