Triggering Questions> was: Lack of time, knowledge or just sloppy thinking?

Stefanie Lee stefanieylee at GMAIL.COM
Thu May 2 18:04:26 UTC 2013


Firstly, pleasure to be part of this group and discussion.

In response to this and the other thread on satisfaction of search in
radiology, I envision a solution based in the technology we use to produce
reports.

With the advent of voice transcription software, a dictation of "positive
for fracture" could trigger the system to prompt the radiologist about
other findings commonly associated with fractures - e.g. are there any
additional fractures? any evidence of dislocation? - and to address them if
not already explicitly mentioned in the report.

There may be a role for structured reporting as well - for example, a
trauma hand radiograph template with fields for fractures, dislocations,
additional findings, etc.

As a soon-to-be radiologist, I am interested in exploring such potential
solutions further. Is anyone here involved in SIIM or imaging informatics
more generally?

All the best,
Stefanie

On 2 May 2013 09:25, Lorri Zipperer <Lorri at zpm1.com> wrote:

> *From:* Diane Zuckerman [mailto:diane at ebsolutions.com]
> *Sent:* Thursday, May 02, 2013 6:05 AM
> *To:* Society to Improve Diagnosis in Medicine; Peggy Zuckerman
> *Subject:* Re: Lack of time, knowledge or just sloppy thinking?****
>
> ** **
>
> Well stated, Peggy. ****
>
>
>
> ****
>
> Now we need a simple solution to trigger those questions and cognitive
> support that is particular to the diagnosis presupposed - not just a
> laundry list of differential diagnosis.****
>
>
>
> ****
>
> Diane Z
>
> ****
>
> ** **
>
> On May 1, 2013, at 3:25 PM, Peggy Zuckerman wrote:****
>
>
>
> ****
>
> The reality is that our various strengths and weaknesses have led us to be
> the biologically advance and DIVERSE kinds of creatures that we are.  With
> that diversity comes the obvious physical differences, but also includes
> diverse ways of processing information.  One can call that "types of
> intelligences", with some people having greater spatial skills, others
> greater mathematical processing or insight, others more skilled at learning
> foreign languages, and so on.****
>
> The great weakness in this codified system is that the practitioners often
> have the same type of thinking--it does require a lot of similar skills to
> get through medical school vs art school--and that can become a
> self-limiting approach in making a diagnosis.  In the case of a difficult
> diagnosis, we can all certainly bring a cognitive skill to this by asking,
> "What am I missing here?" or "How else can I approach this problem?".  That
> is essentially asking for a reset to "start" at a time at which there seems
> a need for a decisive action.  The decisive action could also be that
> return to the basics, to start again, while acknowledging one's own
> tendencies and style of thinking.****
>
> Peggy Z****
>
> ** **
>
> ------------------------------
>
>
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> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society
> for Improving Diagnosis in Medicine
>
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