RESUMEN
The National Academy of Medicine (NAM) in the recently issued report Improving Diagnosis in Health Care outlined eight major recommendations to improve the quality and safety of diagnosis. The #1 recommendation was to improve teamwork in the diagnostic process. This is a major departure from the classical approach, where the physician is solely responsible for diagnosis. In the new, patient-centric vision, the core team encompasses the patient, the physician and the associated nursing staff, with each playing an active role in the process. The expanded diagnostic team includes pathologists, radiologists, allied health professionals, medical librarians, and others. We review the roles that each of these team members will need to assume, and suggest "first steps" that each new team member can take to achieve this new dynamic.
Asunto(s)
Rol de la Enfermera , Grupo de Atención al Paciente/organización & administración , Atención Dirigida al Paciente/métodos , Rol del Médico , Conducta Cooperativa , Atención a la Salud/normas , Errores Diagnósticos/prevención & control , HumanosRESUMEN
Patient safety can be compromised at any time, but a disproportionate number of problems occur when patients are transitioning between care settings and care providers. Therefore, those trying to improve patient safety need to focus particular attention on times of transition. This article describes a public education campaign to change patients' behaviors during those periods.