FRAMED: a framework facilitating insight problem solving.

IF 2.2 Q2 MEDICINE, GENERAL & INTERNAL

Diagnosis Pub Date : 2024-02-23 eCollection Date: 2024-08-01 DOI:10.1515/dx-2023-0152

Sho Isoda, Taro Shimizu, Tomio Suzuki

引用次数: 0

Abstract

Insight has been studied as an element of problem solving in the field of cognitive psychology and may play an important role in clinical reasoning. We propose a new strategy based on theories that promote insight that may help generate further diagnostic hypotheses by reviewing the interpretation of a case and an individual's list of differential diagnoses from multiple perspectives: formation (F), re-encoding (R), analogy (A), modification (M), elaboration (E), and deliberation (D) (FRAMED). The FRAMED strategy may help clinicians overcome misinterpretations and cognitive bias by systematically reflecting on previous clinical reasoning processes from multiple perspectives.

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FRAMED：促进洞察力解决问题的框架。

在认知心理学领域，洞察力一直被视为解决问题的一个要素，并可能在临床推理中发挥重要作用。我们以促进洞察力的理论为基础提出了一种新策略，该策略可从多个角度审查对病例的解释和个人的鉴别诊断清单，从而帮助产生进一步的诊断假设：形成（F）、重新编码（R）、类比（A）、修改（M）、阐述（E）和斟酌（D）（FRAMED）。FRAMED 策略可帮助临床医生从多个角度系统地反思以往的临床推理过程，从而克服误读和认知偏差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diagnosis MEDICINE, GENERAL & INTERNAL-

CiteScore

7.20

自引率

5.70%

发文量

期刊介绍： Diagnosis focuses on how diagnosis can be advanced, how it is taught, and how and why it can fail, leading to diagnostic errors. The journal welcomes both fundamental and applied works, improvement initiatives, opinions, and debates to encourage new thinking on improving this critical aspect of healthcare quality.　 Topics: -Factors that promote diagnostic quality and safety -Clinical reasoning -Diagnostic errors in medicine -The factors that contribute to diagnostic error: human factors, cognitive issues, and system-related breakdowns -Improving the value of diagnosis – eliminating waste and unnecessary testing -How culture and removing blame promote awareness of diagnostic errors -Training and education related to clinical reasoning and diagnostic skills -Advances in laboratory testing and imaging that improve diagnostic capability -Local, national and international initiatives to reduce diagnostic error