Role of diagnosis in cutting waste in clinical care

Bruno, Michael mbruno at HMC.PSU.EDU
Fri Nov 7 14:01:51 UTC 2014


Hi Charlie,

Thanks for this paper.  Your novel construct of “cognitive buoyancy” sounds very interesting!  I would LOVE to hear more about your research and thinking in this area.

All the best,

Michael


Michael A. Bruno, M.D., F.A.C.R.
Professor of Radiology & Medicine
Director of Quality Services & Patient Safety
The Milton S. Hershey Medical Center
Penn State College of Medicine
500 University Drive, Mail Code H-066
Hershey, PA  17033

Phone: (717) 531-8703
Fax:      (717) 531-5596

e-mail: mbruno at hmc.psu.edu<mailto:mbruno at hmc.psu.edu>

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From: Charlie Garland - The Innovation Outlet [mailto:cgarland at INNOVATIONOUTLET.BIZ]
Sent: Thursday, November 06, 2014 5:02 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] Role of diagnosis in cutting waste in clinical care


Jason - I believe Dr. Pat Crosskerry of Dalhousie University would be able to answer that question with tremendous depth.  I just finished re-reading a fascinating paper he wrote, "Context is Everything or How Could I Have Been That Stupid?<http://www.longwoods.com/content/20945>" (Healthcare Quarterly Vol. 12 Special Issue 2009).  Dr. Crosskerry is widely known as a thought-leader in diagnostics education and professional development, with passionate expertise in various aspects of Critical Thinking, Cognitive Biases, and such.

Also, you may of course know that Dr. Mark Graber has also taught/spoken on this and related subjects.  Surely, many members of this listserv will have highly relevant insights into your query.  I, too, am in the process of developing a construct called "Cognitive Buoyancy" that consists of a logical model, methodology, and metric related to the above.  Happy to provide more info on this research, as desired.

Kind regards,
Charlie G.


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-------- Original Message --------
Subject: [IMPROVEDX] Role of diagnosis in cutting waste in clinical care
From: Jason Maude <Jason.Maude at ISABELHEALTHCARE.COM<mailto:Jason.Maude at ISABELHEALTHCARE.COM>>
Date: Thu, November 06, 2014 12:21 pm
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
You may all be interested to see a paper just published by the Academy of Medical Royal Colleges in the UK entitled "Protecting resources, promoting value:
a doctor’s guide to cutting waste in clinical care"

http://www.aomrc.org.uk/doc_download/9793-protecting-resources-promoting-value.html

My favourite part is on P20 where it states so perfectly:

"Fundamental attributes of a value-promoting doctor

A skilled diagnostician:
forms intelligent differential diagnoses and can discern which investigations are truly necessary to diagnose and treat the patient effectively."

The key question is how do you (practically) make our current clinicians "skilled diagnosticians" (those that aren't already of course)?

Regards
Jason

Jason Maude
Founder and CEO Isabel Healthcare
Tel: +44 1428 644886
Tel: +1 703 879 1890
www.isabelhealthcare.com<http://www.isabelhealthcare.com/>

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