Learning from Missed Opportunities Through Reflective

Critical care clinics · Jan 2022

Review

Learning from Missed Opportunities Through Reflective Practice.

Identification of diagnostic errors is difficult but is not alone sufficient for performance improvement. Instead, cases must be reflected on to identify ways to improve decision-making in the future. ⋯ Reflection in action-in which diagnostic decisions are considered in real-time-may also improve medical decision-making especially through strategies such as structured reflection. Ongoing regular feedback can normalize the discussion about improving decision-making, enable reflective practice, and improve decision making.

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- Gopi J Astik and OlsonAndrew P JAPJDepartment of Medicine and Pediatrics, University of Minnesota Medical School, 420 Delaware Street SE, MMC 284, Minneapolis, MN 55455, USA..
- Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, 211 East Ontario Street, Suite 1300, Chicago, IL 60611, USA. Electronic address: gastik@nm.org.
- Crit Care Clin. 2022 Jan 1; 38 (1): 103-112.
AbstractIdentification of diagnostic errors is difficult but is not alone sufficient for performance improvement. Instead, cases must be reflected on to identify ways to improve decision-making in the future. There are many tools and modalities to retrospectively reflect on action to study medical decisions and outcomes and improve future performance. Reflection in action-in which diagnostic decisions are considered in real-time-may also improve medical decision-making especially through strategies such as structured reflection. Ongoing regular feedback can normalize the discussion about improving decision-making, enable reflective practice, and improve decision making.Copyright © 2021 Elsevier Inc. All rights reserved.

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Learning from Missed Opportunities Through Reflective Practice.

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