[External] Re: [IMPROVEDX] How to convey uncertainty

Ely, John john-ely at UIOWA.EDU
Thu Jan 11 13:33:22 UTC 2018


The best option may be a combination of the two implicit strategies:  “You child’s belly pain is probably due to Disease A, but could also be due to Disease B or Disease C.  And this is what we need to do to rule out B and C.  And before you leave, I just want to run through this checklist of other possibilities to be sure I’m not forgetting anything else that we need to rule out.”

John Ely, MD
University of Iowa

From: Bob Latino [mailto:blatino at RELIABILITY.COM]
Sent: Thursday, January 11, 2018 5:23 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [External] Re: [IMPROVEDX] How to convey uncertainty

Along these lines some friends of mine wrote this book a while back 'What Do I Say?' that addresses these uncomfortable conversations that need to take place between a physician and a patient.  This is targeted to obstetrics but the basic premise is about communicating information to people that otherwise would not want to hear it (bad news).

https://www.amazon.com/Communicating-Intended-Unanticipated-Outcomes-Obstetrics/dp/0787966541

Robert J. Latino, CEO
Reliability Center, Inc.
1.800.457.0645
blatino at reliability.com<mailto:blatino at reliability.com>
www.reliability.com<http://www.reliability.com>
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From: Mark Graber [mailto:graber.mark at GMAIL.COM]
Sent: Wednesday, January 10, 2018 10:56 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
Subject: [IMPROVEDX] How to convey uncertainty

Congratulations and thanks to Viraj Bhise and Hardeep Singh’s group for their novel study on the best way to convey uncertainty to patients about the diagnosis – advice we can use every day.

https://academic.oup.com/intqhc/advance-article/doi/10.1093/intqhc/mzx170/4791877


Mark L Graber MD FACP
President, SIDM
Senior Fellow, RTI International
Professor Emeritus, Stony Brook University
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