Creativity and diagnostic reasoning.

IF 2 Q2 MEDICINE, GENERAL & INTERNAL

Diagnosis Pub Date : 2025-05-06 DOI:10.1515/dx-2025-0015

Sho Isoda, Taro Shimizu, Tadayuki Hashimoto, Masasi Hattori, Tomio Suzuki

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Abstract

Creativity is an important component of diagnostic reasoning, enabling the generation of novel and effective diagnostic hypotheses, in collaboration with abduction. The creative process not only fosters insight - critical for overcoming diagnostic challenges - but also enhances calibration by encouraging the exploration of alternative hypotheses. Insight, a key component of creativity, emerges when clinicians reconsider problems from fresh perspectives, breaking through diagnostic impasses. Similarly, calibration, essential for mitigating cognitive biases, promotes the generation and evaluation of alternative hypotheses. By fostering insight and calibration, creativity enhances precision and effectiveness of diagnostic reasoning. Leveraging insights from cognitive psychology to promote creativity can further elevate diagnostic reasoning, driving innovation and excellence in diagnosis. This article explores the pivotal role of creativity in diagnostic reasoning, its applications in diagnosis, approaches to nurture it, and its limitations, ultimately aiming to inspire innovation and excellence in the pursuit of diagnostic accuracy and patient care.

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创造力和诊断推理。

创造力是诊断推理的一个重要组成部分，它与溯因性协作，能够产生新颖有效的诊断假设。创造性的过程不仅培养了洞察力——这对克服诊断挑战至关重要——而且还通过鼓励探索替代假设来加强校准。洞察力是创造力的关键组成部分，当临床医生从新的角度重新考虑问题，突破诊断僵局时，洞察力就会出现。同样，校准对于减轻认知偏差至关重要，它促进了替代假设的产生和评估。通过培养洞察力和校准，创造力提高了诊断推理的准确性和有效性。利用认知心理学的见解来促进创造力，可以进一步提升诊断推理，推动诊断的创新和卓越。本文探讨了创造力在诊断推理中的关键作用，它在诊断中的应用，培养它的方法，以及它的局限性，最终旨在激发创新和卓越的追求诊断准确性和病人护理。

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