From the Ethox Centre, Department of Public Health, University of Oxford, Oxford, UK and Faculty of Medicine, Hebrew University Hadassah Medical School, Jerusalem, Israel From the Ethox Centre, Department of Public Health, University of Oxford, Oxford, UK and Faculty of Medicine, Hebrew University Hadassah Medical School, Jerusalem, Israel
QJM. 2015 Jun;108(6):435-42. doi: 10.1093/qjmed/hcv022. Epub 2015 Jan 30.
Many studies analyse the diagnostic process, diagnostic errors and diagnostic excellence but few provide a broad, yet practical view of this complex and highly context-dependent challenge.
A personal, experience- and research-based selection of the principles of data collection, processing and clinical reasoning found to be most useful in achieving an efficient, timely and patient-centered diagnosis.
Twenty-four principles were identified and each one is presented followed by a brief commentary.
No single strategy can provide a solution for all diagnostic problems. However, the 24 principles have proven validity and can be applied for solving diagnostic problems in varied settings and as a scaffold in teaching diagnosis at all levels of medical education.
许多研究分析了诊断过程、诊断错误和诊断卓越，但很少有研究提供对这一复杂且高度依赖背景的挑战的广泛而实用的观点。
根据个人经验和研究，选择了一些在实现高效、及时和以患者为中心的诊断方面最有用的数据收集、处理和临床推理原则。
确定了 24 条原则，每条原则后面都附有简要的说明。
没有单一的策略可以解决所有的诊断问题。然而，这 24 条原则已经被证明是有效的，可以应用于解决不同环境下的诊断问题，并作为医学教育各个层次教学诊断的支架。
