• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

诊断推理中的过早结论。

Premature conclusions in diagnostic reasoning.

作者信息

Voytovich A E, Rippey R M, Suffredini A

出版信息

J Med Educ. 1985 Apr;60(4):302-7. doi: 10.1097/00001888-198504000-00004.

DOI:10.1097/00001888-198504000-00004
PMID:3981589
Abstract

The purpose of the study reported here was to explore the characteristics of premature diagnostic conclusions in a group of physicians, medical students, and residents. When the subjects were asked to construct complete, precise problem lists from three case abstracts, premature closure occurred frequently, it could be recognized with good interrater reliability, and it seemed to appear with equal frequency regardless of the level of training.

摘要

本文所报告的研究目的是探究一组医生、医学生和住院医师过早得出诊断结论的特点。当要求受试者根据三份病例摘要构建完整、精确的问题清单时,过早下结论的情况频繁发生,这种情况能够以较高的评分者间信度被识别出来,并且无论培训水平如何,其出现频率似乎是相同的。

相似文献

1
Premature conclusions in diagnostic reasoning.诊断推理中的过早结论。
J Med Educ. 1985 Apr;60(4):302-7. doi: 10.1097/00001888-198504000-00004.
2
Diagnostic errors and flaws in clinical reasoning: mechanisms and prevention in practice.临床推理中的诊断错误和缺陷:实践中的机制和预防。
Swiss Med Wkly. 2012 Oct 23;142:w13706. doi: 10.4414/smw.2012.13706. eCollection 2012.
3
Diagnostic errors by medical students: results of a prospective qualitative study.医学生的诊断错误:一项前瞻性定性研究的结果。
BMC Med Educ. 2017 Nov 9;17(1):191. doi: 10.1186/s12909-017-1044-7.
4
Clinical reasoning: the relative contribution of identification, interpretation and hypothesis errors to misdiagnosis.临床推理:识别、解释和假设错误对误诊的相对影响。
Med Teach. 2003 Nov;25(6):621-5. doi: 10.1080/01421590310001605688.
5
A mixed-methods exploration of cognitive dispositions to respond and clinical reasoning errors with multiple choice questions.一种混合方法探索认知倾向反应和多选题临床推理错误。
BMC Med Educ. 2018 Nov 23;18(1):277. doi: 10.1186/s12909-018-1372-2.
6
Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes.探讨显著干扰性临床特征在诊断错误出现中的作用,以及反思如何对抗错误的机制。
BMJ Qual Saf. 2012 Apr;21(4):295-300. doi: 10.1136/bmjqs-2011-000518. Epub 2012 Mar 2.
7
The IDEA Assessment Tool: Assessing the Reporting, Diagnostic Reasoning, and Decision-Making Skills Demonstrated in Medical Students' Hospital Admission Notes.IDEA评估工具:评估医学生住院病历中展示的报告、诊断推理和决策技能。
Teach Learn Med. 2015;27(2):163-73. doi: 10.1080/10401334.2015.1011654.
8
Heuristic errors in clinical reasoning.临床推理中的启发式错误。
Clin Teach. 2016 Aug;13(4):287-90. doi: 10.1111/tct.12444. Epub 2015 Sep 23.
9
Relating faults in diagnostic reasoning with diagnostic errors and patient harm.将诊断推理中的错误与诊断错误和患者伤害联系起来。
Acad Med. 2012 Feb;87(2):149-56. doi: 10.1097/ACM.0b013e31823f71e6.
10
Premature conclusions in the diagnosis of iron-deficiency anemia: cause and effect.缺铁性贫血诊断中的过早结论:因果关系
Med Decis Making. 1986 Jul-Sep;6(3):169-73. doi: 10.1177/0272989X8600600307.

引用本文的文献

1
Analysis of the causes of improper medical decision-making in medical damage liability disputes in China: a text mining approach.中国医疗损害责任纠纷中医方不当诊疗决策成因分析:一种文本挖掘方法
BMC Health Serv Res. 2025 Aug 20;25(1):1112. doi: 10.1186/s12913-025-13177-8.
2
Cognitive biases in pediatric cardiac care.儿科心脏护理中的认知偏差。
Front Cardiovasc Med. 2024 Jul 4;11:1423680. doi: 10.3389/fcvm.2024.1423680. eCollection 2024.
3
Experience With Proximal Median Nerve Entrapment by the Lacertus Fibrosus.纤维弓状韧带所致正中神经近段卡压的诊治体会
Hand (N Y). 2024 Sep;19(6):904-911. doi: 10.1177/15589447231153233. Epub 2023 Mar 1.
4
Clinical reasoning in dire times. Analysis of cognitive biases in clinical cases during the COVID-19 pandemic.艰难时期的临床推理。COVID-19 大流行期间临床病例中的认知偏差分析。
Intern Emerg Med. 2022 Jun;17(4):979-988. doi: 10.1007/s11739-021-02884-9. Epub 2022 Jan 8.
5
Is the Psychiatric History Losing Its Relevance?精神病史是否正在失去相关性?
Perm J. 2020;24. doi: 10.7812/TPP/19.186.
6
Clinico-pathological discrepancies in the diagnosis of causes of death in adults in Mozambique: A retrospective observational study.莫桑比克成年人死因诊断的临床病理差异:一项回顾性观察研究。
PLoS One. 2019 Sep 6;14(9):e0220657. doi: 10.1371/journal.pone.0220657. eCollection 2019.
7
Diagnostic error increases mortality and length of hospital stay in patients presenting through the emergency room.诊断错误会增加通过急诊就诊的患者的死亡率和住院时间。
Scand J Trauma Resusc Emerg Med. 2019 May 8;27(1):54. doi: 10.1186/s13049-019-0629-z.
8
Development and application of a multi-modal task analysis to support intelligent tutoring of complex skills.一种多模态任务分析的开发与应用,以支持复杂技能的智能辅导。
Int J STEM Educ. 2018;5(1):14. doi: 10.1186/s40594-018-0108-5. Epub 2018 Apr 15.
9
Electronic problem lists: a thematic analysis of a systematic literature review to identify aspects critical to success.电子问题清单:系统文献综述以确定成功关键因素的主题分析。
J Am Med Inform Assoc. 2018 May 1;25(5):603-613. doi: 10.1093/jamia/ocy011.
10
Incidence and Causes of Overdiagnosis of Optic Neuritis.视神经炎的过度诊断发生率和原因。
JAMA Ophthalmol. 2018 Jan 1;136(1):76-81. doi: 10.1001/jamaophthalmol.2017.5470.