Diagnostic Reasoning in Surgical Pathology

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Ahti-Veikko Pietarinen, Donald E. Stanley
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引用次数: 0

Abstract

Rationale

Diagnostic reasoning in surgical pathology is critical for accurate disease identification, particularly for rare conditions. Despite advancements in methodologies, the diagnostic lag remains significant, highlighting the need for improved reasoning skills.

Aims and Objectives

This study examines the role of abductive reasoning in diagnostic processes within surgical pathology. A theoretical framework that integrates abduction with deduction and induction to increase diagnostic accuracy and expedite therapeutic interventions is proposed.

Methods

This paper employs a qualitative analysis of the diagnostic reasoning process, emphasizing the interconnectedness of abduction, deduction and induction. It draws on historical philosophical perspectives, particularly those of Charles S. Peirce, to explore how these reasoning types contribute to effective clinical decision-making.

Results

The findings underscore the importance of abductive reasoning in generating testable hypotheses, even when initial conclusions may be incorrect. The study reveals that while induction and deduction provide structure, abduction fosters creativity and broadens the scope of possible diagnoses, particularly in cases of uncertainty.

Conclusion

The integration of abductive reasoning into surgical pathology practices is essential for improving diagnostic outcomes. By emphasizing the generative potential of abduction, this framework aims to reduce diagnostic delays and enhance clinical decision-making, ultimately benefiting patient care. The study advocates the incorporation of this reasoning approach into medical profession to better equip healthcare professionals in navigating complex diagnostic scenarios.

外科病理学诊断推理
基本原理外科病理诊断推理是准确识别疾病的关键,特别是对罕见的情况。尽管在方法上取得了进步,但诊断滞后仍然显著,这突出表明需要提高推理技能。目的和目的本研究探讨了外展推理在外科病理诊断过程中的作用。一个理论框架,整合外展与演绎和归纳,以提高诊断的准确性和加快治疗干预提出。方法对诊断推理过程进行定性分析,强调溯因、演绎和归纳法的相互联系。它借鉴了历史哲学的观点,特别是查尔斯S.皮尔斯的观点,探索这些推理类型如何有助于有效的临床决策。结果研究结果强调溯因推理在产生可检验的假设中的重要性,即使最初的结论可能是不正确的。研究表明,归纳法和推演法提供了结构,溯因法则培养了创造力,扩大了可能诊断的范围,尤其是在不确定的情况下。结论将外展推理纳入外科病理实践对提高诊断效果至关重要。通过强调外展的生成潜力,该框架旨在减少诊断延迟和提高临床决策,最终使患者护理受益。该研究提倡将这种推理方法纳入医疗行业,以更好地装备医疗保健专业人员在复杂的诊断场景中导航。
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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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