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Volumn 18, Issue 1, 2017, Pages

Managing diagnostic uncertainty in primary care: A systematic critical review

Author keywords

Burnout; Diagnosis; Primary medical care; Training; Uncertainty

Indexed keywords

BURNOUT; COGNITION; DIAGNOSIS; EMOTION; GENERAL PRACTITIONER; HUMAN; MEDICAL ETHICS; PRIMARY HEALTH CARE; PSYCHOLOGY; UNCERTAINTY;

EID: 85026910326     PISSN: None     EISSN: 14712296     Source Type: Journal    
DOI: 10.1186/s12875-017-0650-0     Document Type: Review
Times cited : (132)

References (49)
  • 3
    • 29244469390 scopus 로고    scopus 로고
    • Medical generalists: Connecting the map and the territory
    • Heath I, Sweeney K. Medical generalists: connecting the map and the territory. BMJ British Med J. 2005;331:1462-4.
    • (2005) BMJ British Med J , vol.331 , pp. 1462-1464
    • Heath, I.1    Sweeney, K.2
  • 4
    • 65949096629 scopus 로고    scopus 로고
    • Epistemology and uncertainty in primary care: An exploratory study
    • 19418279
    • Evans L, Trotter DR. Epistemology and uncertainty in primary care: an exploratory study. Fam Med. 2009;41:319-26.
    • (2009) Fam Med , vol.41 , pp. 319-326
    • Evans, L.1    Trotter, D.R.2
  • 5
    • 0030070905 scopus 로고    scopus 로고
    • Characteristics of physicians with participatory decision-making styles
    • 1:STN:280:DyaK287mvF2nuw%3D%3D 8602709
    • Kaplan SH, Greenfield S, Gandek B, Rogers WH, Ware JE Jr. Characteristics of physicians with participatory decision-making styles. Ann Intern Med. 1996;124:497-504.
    • (1996) Ann Intern Med , vol.124 , pp. 497-504
    • Kaplan, S.H.1    Greenfield, S.2    Gandek, B.3    Rogers, W.H.4    Ware, J.E.5
  • 6
    • 84887981100 scopus 로고    scopus 로고
    • Physician' attitudes about communicating and managing scientific uncertainty differ by perceived ambiguity aversion of their patients
    • 21838835 3218256
    • Portnoy DB, Han PK, Ferrer RA, Klein WM, Clauser SB. Physician' attitudes about communicating and managing scientific uncertainty differ by perceived ambiguity aversion of their patients. Health Expect. 2011;16:362-72.
    • (2011) Health Expect , vol.16 , pp. 362-372
    • Portnoy, D.B.1    Han, P.K.2    Ferrer, R.A.3    Klein, W.M.4    Clauser, S.B.5
  • 7
    • 0026199135 scopus 로고
    • Uncertainty and the shaping of medical decisions
    • 1:STN:280:DyaK38%2FktVyltw%3D%3D
    • Beresford EB. Uncertainty and the shaping of medical decisions. Hast Cent Rep. 1991;21:6-11.
    • (1991) Hast Cent Rep , vol.21 , pp. 6-11
    • Beresford, E.B.1
  • 9
    • 42949130009 scopus 로고    scopus 로고
    • Overconfidence as a cause of diagnostic error in medicine
    • 18440350
    • Berner ES, Graber ML. Overconfidence as a cause of diagnostic error in medicine. Am J Med. 2008;121:S2-23.
    • (2008) Am J Med , vol.121 , pp. S2-23
    • Berner, E.S.1    Graber, M.L.2
  • 10
    • 77952922405 scopus 로고    scopus 로고
    • How do primary care doctors deal with uncertainty in making diagnostic decisions?: The development of the 'Dealing with uncertainty Questionnaire' (DUQ)
    • 20604824
    • Schneider A, Lowe B, Barie S, Joos S, Engeser P, Szecsenyi J. How do primary care doctors deal with uncertainty in making diagnostic decisions?: the development of the 'Dealing with uncertainty Questionnaire' (DUQ). J Eval Clin Pract. 2010;16:431-7.
    • (2010) J Eval Clin Pract , vol.16 , pp. 431-437
    • Schneider, A.1    Lowe, B.2    Barie, S.3    Joos, S.4    Engeser, P.5    Szecsenyi, J.6
  • 11
    • 21844513361 scopus 로고
    • Physicians' reactions to uncertainty: Refining the constructs and scales
    • Gerrity MS, White KP, DeVellis RF, Dittus RS. Physicians' reactions to uncertainty: refining the constructs and scales. Motiv Emot. 1995;19:175-91.
    • (1995) Motiv Emot , vol.19 , pp. 175-191
    • Gerrity, M.S.1    White, K.P.2    DeVellis, R.F.3    Dittus, R.S.4
  • 12
    • 66149170342 scopus 로고    scopus 로고
    • Communicating diagnostic uncertainties to patients: The problems of explaining unclear diagnosis and risk
    • 19483015
    • Than MP, Flaws DF. Communicating diagnostic uncertainties to patients: the problems of explaining unclear diagnosis and risk. Evid Based Med. 2009;14:66-7.
    • (2009) Evid Based Med , vol.14 , pp. 66-67
    • Than, M.P.1    Flaws, D.F.2
  • 13
    • 14844312853 scopus 로고    scopus 로고
    • The nature of medical evidence and its inherent uncertainty for the clinical consultation: Qualitative study
    • 15684026 552810
    • Griffiths F, Green E, Tsouroufli M. The nature of medical evidence and its inherent uncertainty for the clinical consultation: qualitative study. BMJ. 2005;330:511.
    • (2005) BMJ , vol.330 , pp. 511
    • Griffiths, F.1    Green, E.2    Tsouroufli, M.3
  • 14
    • 35148853995 scopus 로고    scopus 로고
    • Communicating the uncertainty of harms and benefits of medical interventions
    • Politi MC, Han PKJ, Col NF. Communicating the uncertainty of harms and benefits of medical interventions. Med Decis Mak. 2007;27:681-95.
    • (2007) Med Decis Mak , vol.27 , pp. 681-695
    • Politi, M.C.1    Han, P.K.J.2    Col, N.F.3
  • 15
    • 0033596259 scopus 로고    scopus 로고
    • Informed decision making in outpatient practice: Time to get back to basics
    • Braddock CH 3rd, Edwards KA, Hasenberg NM, Laidley TL, Levinson W. Informed decision making in outpatient practice: time to get back to basics. JAMA. 1999;282:2313-20.
    • (1999) JAMA , vol.282 , pp. 2313-2320
    • Braddock, C.H.1    Edwards, K.A.2    Hasenberg, N.M.3    Laidley, T.L.4    Levinson, W.5
  • 16
    • 0028882182 scopus 로고
    • Triage decisions for emergency department patients with chest pain: Do physicians' risk attitudes make the difference?
    • 1:STN:280:DyaK287ivFCmsA%3D%3D 8576772
    • Pearson SD, Goldman L, Orav EJ, Guadagnoli E, Garcia TB, Johnson PA, Lee TH. Triage decisions for emergency department patients with chest pain: do physicians' risk attitudes make the difference? J Gen Intern Med. 1995;10:557-64.
    • (1995) J Gen Intern Med , vol.10 , pp. 557-564
    • Pearson, S.D.1    Goldman, L.2    Orav, E.J.3    Guadagnoli, E.4    Garcia, T.B.5    Johnson, P.A.6    Lee, T.H.7
  • 17
    • 0034679055 scopus 로고    scopus 로고
    • Inequality in quality: Addressing socioeconomic, racial, and ethnic disparities in health care
    • 1:STN:280:DC%2BD3c3ns1ShtA%3D%3D 10815125
    • Fiscella K, Franks P, Gold MR, Clancy CM. Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care. JAMA. 2000;283:2579-84.
    • (2000) JAMA , vol.283 , pp. 2579-2584
    • Fiscella, K.1    Franks, P.2    Gold, M.R.3    Clancy, C.M.4
  • 19
    • 0031750403 scopus 로고    scopus 로고
    • The association of physician attitudes about uncertainty and risk taking with resource use in a Medicare HMO
    • 1:STN:280:DyaK1czktlGqsw%3D%3D
    • Allison JJ, Kiefe CI, Cook EF, Gerrity MS, Orav EJ, Centor R. The association of physician attitudes about uncertainty and risk taking with resource use in a Medicare HMO. Med Decis Mak. 1998;18:320-9.
    • (1998) Med Decis Mak , vol.18 , pp. 320-329
    • Allison, J.J.1    Kiefe, C.I.2    Cook, E.F.3    Gerrity, M.S.4    Orav, E.J.5    Centor, R.6
  • 20
    • 0036655329 scopus 로고    scopus 로고
    • Information exchange in oncology outpatient clinics: Source, valence and uncertainty
    • 12203746
    • Rogers M, Todd C. Information exchange in oncology outpatient clinics: source, valence and uncertainty. Psychooncology. 2002;11:336-45.
    • (2002) Psychooncology , vol.11 , pp. 336-345
    • Rogers, M.1    Todd, C.2
  • 21
    • 84994140643 scopus 로고    scopus 로고
    • Tolerating uncertainty - The next medical revolution?
    • 27806221
    • Simpkin AL, Schwartzstein RM. Tolerating uncertainty - the next medical revolution? N Engl J Med. 2016;375:1713-5.
    • (2016) N Engl J Med , vol.375 , pp. 1713-1715
    • Simpkin, A.L.1    Schwartzstein, R.M.2
  • 22
    • 69149107165 scopus 로고    scopus 로고
    • Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
    • PRISMA Group
    • Moher D, Liberati A, Tetzlaff J, Altman DG. PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264-9.
    • (2009) Ann Intern Med , vol.151 , Issue.4 , pp. 264-269
    • Moher, D.1    Liberati, A.2    Tetzlaff, J.3    Altman, D.G.4
  • 23
    • 0026917902 scopus 로고
    • General practitioners' uncertainty, risk preference, and use of laboratory tests
    • 1:STN:280:DyaK38zovFKksg%3D%3D 1518316
    • Zaat JO, van Eijk JT. General practitioners' uncertainty, risk preference, and use of laboratory tests. Med Care. 1992;30:846-54.
    • (1992) Med Care , vol.30 , pp. 846-854
    • Zaat, J.O.1    Van Eijk, J.T.2
  • 24
    • 84962548067 scopus 로고    scopus 로고
    • The effectiveness of electronic differential diagnoses (DDX) generators: A systematic review and meta-analysis
    • 10.1371/journal.pone.0148991 26954234 4782994
    • Riches N, Panagioti M, Alam R, Cheraghi-Sohi S, Campbell S, Esmail A, Bower P. The effectiveness of electronic differential diagnoses (DDX) generators: a systematic review and meta-analysis. PLoS One. 2016;11:e0148991. doi: 10.1371/journal.pone.0148991.
    • (2016) PLoS One , vol.11 , pp. e0148991
    • Riches, N.1    Panagioti, M.2    Alam, R.3    Cheraghi-Sohi, S.4    Campbell, S.5    Esmail, A.6    Bower, P.7
  • 25
    • 84867276477 scopus 로고    scopus 로고
    • Interrater reliability: The kappa statistic
    • 23092060 3900052
    • McHugh ML. Interrater reliability: the kappa statistic. Biochemia Medica. 2012;22:276-82.
    • (2012) Biochemia Medica , vol.22 , pp. 276-282
    • McHugh, M.L.1
  • 26
    • 84923534423 scopus 로고    scopus 로고
    • CASP: Critical Appraisal Skills Programme (CASP) Oxford Last Accessed Feb 2017
    • CASP: Critical Appraisal Skills Programme (CASP). CASP Checklists http://www.casp-uk.net/. Oxford. 2014. Last Accessed Feb 2017.
    • (2014) CASP Checklists
  • 28
    • 67649899332 scopus 로고    scopus 로고
    • A typology of reviews: An analysis of 14 review types and associated methodologies
    • Grant MJ, Booth A. A typology of reviews: an analysis of 14 review types and associated methodologies. Health Inf Libr J. 2009;26:91-108.
    • (2009) Health Inf Libr J , vol.26 , pp. 91-108
    • Grant, M.J.1    Booth, A.2
  • 29
    • 84902688239 scopus 로고    scopus 로고
    • Medical errors and uncertainty in primary healthcare: A comparative study of coping strategies among young and experienced GPs
    • 24914458 4075022
    • Nevalainen M, Kuikka L, Pitkala K. Medical errors and uncertainty in primary healthcare: a comparative study of coping strategies among young and experienced GPs. Scand J Prim Health Care. 2014;32:84-9.
    • (2014) Scand J Prim Health Care , vol.32 , pp. 84-89
    • Nevalainen, M.1    Kuikka, L.2    Pitkala, K.3
  • 30
    • 84871915528 scopus 로고    scopus 로고
    • A survey of resilience, burnout, and tolerance of uncertainty in Australian general practice registrars
    • Cooke GP, Doust JA, Steele MC. A survey of resilience, burnout, and tolerance of uncertainty in Australian general practice registrars. BMC Med Educ. 2013;13:1-6.
    • (2013) BMC Med Educ , vol.13 , pp. 1-6
    • Cooke, G.P.1    Doust, J.A.2    Steele, M.C.3
  • 31
    • 84904340311 scopus 로고    scopus 로고
    • Communicating and dealing with uncertainty in general practice: The association with neuroticism
    • Schneider A, Wubken M, Linde K, Buhner M. Communicating and dealing with uncertainty in general practice: the association with neuroticism. PLoS One. 2014;9:7.
    • (2014) PLoS One , vol.9 , pp. 7
    • Schneider, A.1    Wubken, M.2    Linde, K.3    Buhner, M.4
  • 34
    • 34250307187 scopus 로고    scopus 로고
    • Practice inquiry: Clinical uncertainty as a focus for small-group learning and practice improvement
    • 17356994 1824750
    • Sommers LS, Morgan L, Johnson L, Yatabe K. Practice inquiry: clinical uncertainty as a focus for small-group learning and practice improvement. J Gen Intern Med. 2007;22:246-52.
    • (2007) J Gen Intern Med , vol.22 , pp. 246-252
    • Sommers, L.S.1    Morgan, L.2    Johnson, L.3    Yatabe, K.4
  • 35
    • 85031892572 scopus 로고    scopus 로고
    • Managing uncertainty in diagnostic practice
    • Kennedy AG: Managing uncertainty in diagnostic practice. J Eval Clin Pract 2015; 21.
    • (2015) J Eval Clin Pract , vol.21
    • Kennedy, A.G.1
  • 36
    • 84992034615 scopus 로고    scopus 로고
    • Measures to improve diagnostic safety in clinical practice
    • doi: 10.1097/PTS.0000000000000338
    • Singh H, Graber ML, Hofer TP. Measures to improve diagnostic safety in clinical practice. J Patient Saf. 2016; doi: 10.1097/PTS.0000000000000338.
    • (2016) J Patient Saf
    • Singh, H.1    Graber, M.L.2    Hofer, T.P.3
  • 38
    • 0030068976 scopus 로고    scopus 로고
    • Uncertainty in clinical practice: Implications for quality and costs of health care
    • 1:STN:280:DyaK287nsFSiuw%3D%3D 8596325
    • Logan RL, Scott PJ. Uncertainty in clinical practice: implications for quality and costs of health care. Lancet. 1996;347:595-8.
    • (1996) Lancet , vol.347 , pp. 595-598
    • Logan, R.L.1    Scott, P.J.2
  • 39
    • 0030455818 scopus 로고    scopus 로고
    • General practitioners' views about the need for a stress support service
    • 1:STN:280:DyaK2s7nsF2msQ%3D%3D 9023527
    • Young G, Spencer J. General practitioners' views about the need for a stress support service. Fam Pract. 1996;13:517-21.
    • (1996) Fam Pract , vol.13 , pp. 517-521
    • Young, G.1    Spencer, J.2
  • 40
    • 0242468513 scopus 로고    scopus 로고
    • Organising and evaluating a Balint group for trainees in psychiatry
    • Fitzgerald G, Hunter MD. Organising and evaluating a Balint group for trainees in psychiatry. Psychiatr Bull. 2003;27:434-6.
    • (2003) Psychiatr Bull , vol.27 , pp. 434-436
    • Fitzgerald, G.1    Hunter, M.D.2
  • 41
    • 80052047021 scopus 로고    scopus 로고
    • Computer-based clinical decision aids. A review of methods and assessment of systems
    • 1:STN:280:DyaK2s3hs1OisA%3D%3D
    • Reisman Y. Computer-based clinical decision aids. A review of methods and assessment of systems. Med Inform (Lond). 1996;21:179-97.
    • (1996) Med Inform (Lond) , vol.21 , pp. 179-197
    • Reisman, Y.1
  • 42
    • 85026916410 scopus 로고    scopus 로고
    • National institute for health and care excellence
    • NICE: Guidance and advice list. National institute for health and care excellence Available online at https://www.nice.org.uk/guidance/published?type=dg.
    • NICE: Guidance and Advice List
  • 43
    • 84930652792 scopus 로고    scopus 로고
    • Doing diagnosis: Whether and how clinicians use a diagnostic tool of uncertain clinical utility
    • 25259659
    • Armstrong N, Hilton P. Doing diagnosis: whether and how clinicians use a diagnostic tool of uncertain clinical utility. Soc Sci Med. 2014;120:208-14.
    • (2014) Soc Sci Med , vol.120 , pp. 208-214
    • Armstrong, N.1    Hilton, P.2
  • 44
    • 84875793972 scopus 로고    scopus 로고
    • Diagnostic uncertainty: Dichotomies are not the answer
    • 23561757 3582949
    • Shinkins B, Perera R. Diagnostic uncertainty: dichotomies are not the answer. Br J Gen Pract. 2013;63:122-3.
    • (2013) Br J Gen Pract , vol.63 , pp. 122-123
    • Shinkins, B.1    Perera, R.2
  • 45
    • 84921488911 scopus 로고    scopus 로고
    • How we teach US medical students to negotiate uncertainty in clinical care: A CERA study
    • 25646875
    • Ledford C, Seehusen D, Chessman A, Shokar N. How we teach US medical students to negotiate uncertainty in clinical care: a CERA study. Fam Med. 2015;47:31-6.
    • (2015) Fam Med , vol.47 , pp. 31-36
    • Ledford, C.1    Seehusen, D.2    Chessman, A.3    Shokar, N.4
  • 46
    • 84930250674 scopus 로고    scopus 로고
    • What do you do when you don't know what to do? GP associates in training (AiT) and their experiences of uncertainty
    • 25693152
    • Danczak A, Lea A. What do you do when you don't know what to do? GP associates in training (AiT) and their experiences of uncertainty. Educ Prim Care. 2014;25:321-6.
    • (2014) Educ Prim Care , vol.25 , pp. 321-326
    • Danczak, A.1    Lea, A.2
  • 49
    • 84884566905 scopus 로고    scopus 로고
    • Use of health information technology to reduce diagnostic errors
    • El-Kareh R, Hasan O, Schiff G. Use of health information technology to reduce diagnostic errors. BMJ Qual Saf. 2013;22:1-12.
    • (2013) BMJ Qual Saf , vol.22 , pp. 1-12
    • El-Kareh, R.1    Hasan, O.2    Schiff, G.3


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