The diagnostic certainty levels of junior clinicians: A retrospective cohort study

Al-Damluji, MS, Dzara, K, Hodshon, B, et al. (2015) Hospital variation in quality of discharge summaries for patients hospitalized with heart failure exacerbation. Circulation: Cardiovascular Quality and Outcomes 8(1): 77–86.
Google Scholar | Crossref | Medline Assel, M, Sjoberg, DD, Vickers, AJ (2017) The Brier score does not evaluate the clinical utility of diagnostic tests or prediction models. Diagnostic and Prognostic Research 1: 19.
Google Scholar | Crossref | Medline Baldwin, RL, Green, JW, Shaw, JL, et al. (2005) Physician risk attitudes and hospitalization of infants with bronchiolitis. Academic Emergency Medicine 12: 142–146.
Google Scholar | Crossref | Medline Bassford, C, Griffiths, F, Svantesson, M, et al. (2019) Developing an intervention around referral and admissions to intensive care: a mixed-methods study. Health Services and Delivery Research 7(39): 1–284.
Google Scholar | Crossref Blumenthal-Barby, JS, Krieger, H (2015) Cognitive biases and heuristics in medical decision making: a critical review using a systematic search strategy. Medical Decision Making 35(4): 539–557.
Google Scholar | SAGE Journals | ISI Cerner. Enterprise Data Warehouse (2020) (Online). Available at: https://www.cerner.com/solutions/enterprise-data-warehouse (accessed 18 May 2020).
Google Scholar Croskerry, P, Singhal, G, Mamede, S (2013a) Cognitive debiasing 1: origins of bias and theory of debiasing. BMJ Quality & Safety 22(Suppl 2): ii58–ii64.
Google Scholar | Crossref | Medline Croskerry, P, Singhal, G, Mamede, S (2013b) Cognitive debiasing 2: impediments to and strategies for change. BMJ Quality & Safety 22(Suppl 2): ii65–ii72.
Google Scholar | Crossref | Medline DGCS.2 (2017) Absence of definitive diagnosis statement. In: National Clinical Coding Standards ICD-10 5th Ed, Reference Book. London: Stationery Office, ISBN: 9780113230525.
Google Scholar Etheredge, LM (2007) A rapid-learning health system. Health Affairs 26(2): w107–w118.
Google Scholar | Crossref | Medline | ISI Lawton, R, Robinson, O, Harrison, R, et al. (2019) Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England. BMJ Quality & Safety 28: 382–388.
Google Scholar | Crossref | Medline Logan, R (2000) Concealing clinical uncertainty – the language of clinicians. The New Zealand Medical Journal 113: 471–473.
Google Scholar | Medline Mamede, S, Schmidt, HG, Rikers, RMJP, et al. (2010a) Conscious thought beats deliberation without attention in diagnostic decision-making: at least when you are an expert. Psychological Research 74: 586–592.
Google Scholar | Crossref | Medline | ISI Mamede, S, van Gog, T, van den Berge, K, et al. (2010b) Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents. The Journal of the American Medical Association 304: 1198–1203.
Google Scholar | Crossref | Medline | ISI McGlynn, EA, McDonald, KM, Cassel, CK (2015) Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. The Journal of the American Medical Association 314: 2501–2502.
Google Scholar | Crossref | Medline | ISI Meyer, A, Krishnamurthy, P, Sur, M, et al. (2015) Calibration of diagnostic accuracy and confidence in physicians working in academic and non-academic settings. Diagnosis 2: eA10.
Google Scholar Meyer, AND, Singh, H (2019) The path to diagnostic excellence includes feedback to calibrate how clinicians think. The Journal of the American Medical Association 321: 737–738.
Google Scholar | Crossref Meyer, AND, Payne, VL, Meeks, DW, et al. (2013) Physicians’ diagnostic accuracy, confidence, and resource requests: a vignette study. Internal Medicine 173: 1952–1958.
Google Scholar Nagendran, M, Chen, Y, Gordon, AC (2019) Real time self-rating of decision certainty by clinicians: a systematic review. Clinical Medicine (London, England 19(5): 369–374.
Google Scholar | Crossref | Medline O’Hara, R, Johnson, M, Hirst, E, et al. (2014) A qualitative study of decision-making and safety in ambulance service transitions. Health Services and Delivery Research 2(56): 1–138.
Google Scholar | Crossref Office of Director of National Intelligence (2015) Intelligence community directive 203. Online. Available at: https://www.dni.gov/files/documents/ICD/ICD%20203%20Analytic%20Standards.pdf (accessed 03 May 2020).
Google Scholar Patel, S, Rajkomar, A, Harrison, JD, et al. (2018) Next-generation audit and feedback for inpatient quality improvement using electronic health record data: a cluster randomised controlled trial. BMJ Quality & Safety 27: 691–699.
Google Scholar | Crossref | Medline Saposnik, G, Redelmeier, D, Ruff, CC, et al. (2016) Cognitive biases associated with medical decisions: a systematic review. BMC Medical Informatics and Decision Making 16: 138.
Google Scholar | Crossref | Medline Simpkin, AL, Schwartzstein, RM (2016) Tolerating uncertainty – the next medical revolution? New England Journal of Medicine 375: 1713–1715.
Google Scholar | Crossref | Medline | ISI Tetlock, P, Gardner, D (2015) Keeping score. In: Tetlock, P, Gardner, D (eds) Superforecasting: The Art & Science of Prediction. London: Random House Books, pp. 52–64.
Google Scholar Topol, E (2019) Is confidence overrated in medical practice? Medscape (Online) Available at: https://www.medscape.com/viewarticle/906878 (accessed 25 January 2021).
Google Scholar Treadway, N (2018) A student reflection on doctoring with confidence: mind the gap. Annals of Internal Medicine 169: 564–565.
Google Scholar | Crossref | Medline von Elm, E, Altman, DG, Egger, M, et al. (2007) The strengthening the reporting of observational studies in epidemiology (STROBE) Statement: guidelines for reporting observational studies. BMJ 335(7624): 806–808.
Google Scholar | Crossref | Medline Yee, LM, Liu, LY, Grobman, WA (2014) The relationship between obstetricians’ cognitive and affective traits and their patients’ delivery outcomes. American Journal of Obstetrics and Gynecology 211: 692.e1–692.e6.
Google Scholar | Crossref | Medline

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