Cunningham Nicola, Cook Helmy, Harrison Julia
Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Australia.
Med Teach. 2025 Mar;47(3):404-406. doi: 10.1080/0142159X.2024.2402032. Epub 2024 Sep 16.
Diagnostic error is a significant category within preventable patient harm, and it takes many years of effort to develop proficiency in diagnostic reasoning. One of the key challenges medical schools must address is preparing students for the complexity, uncertainty and clinical responsibility in going from student to doctor. Recognising the importance of both cognitive and systems-related factors in diagnostic accuracy, we designed the QUID Prompt (Questions to Use for Improving Diagnosis) for students to refer to at the bedside. This set of questions prompts careful consideration, analysis, and signposting of decision-making processes, to assist students in transitioning from medical school to the real-world of work and achieving diagnostic excellence in clinical settings.
诊断错误是可预防的患者伤害中的一个重要类别，培养诊断推理能力需要多年的努力。医学院校必须应对的关键挑战之一是让学生为从学生转变为医生过程中的复杂性、不确定性和临床责任做好准备。认识到认知因素和系统相关因素在诊断准确性中的重要性，我们设计了QUID提示（用于改进诊断的问题）供学生在床边参考。这组问题促使对决策过程进行仔细思考、分析并指明方向，以帮助学生从医学院过渡到实际工作环境，并在临床环境中实现卓越诊断。
