Learning from Missed Opportunities Through Reflective Practice

Gopi J. Astik; Andrew P.J. Olson

doi:10.1016/j.ccc.2021.09.003

Learning from Missed Opportunities Through Reflective Practice

Gopi J. Astik, Andrew P.J. Olson

Research output: Contribution to journal › Review article › peer-review

3 Scopus citations

Abstract

Identification of diagnostic errors is difficult but is not alone sufficient for performance improvement. Instead, cases must be reflected on to identify ways to improve decision-making in the future. There are many tools and modalities to retrospectively reflect on action to study medical decisions and outcomes and improve future performance. Reflection in action-in which diagnostic decisions are considered in real-time-may also improve medical decision-making especially through strategies such as structured reflection. Ongoing regular feedback can normalize the discussion about improving decision-making, enable reflective practice, and improve decision making.

Original language	English (US)
Pages (from-to)	103-112
Number of pages	10
Journal	Critical Care Clinics
Volume	38
Issue number	1
DOIs	https://doi.org/10.1016/j.ccc.2021.09.003
State	Published - Jan 2022

Bibliographical note

Funding Information:
The authors have nothing to disclose.

Keywords

Case review
Diagnostic error
Learning
Reflection
Clinical Competence
Humans
Retrospective Studies

PubMed: MeSH publication types

Review
Journal Article

Publisher link

10.1016/j.ccc.2021.09.003

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title = "Learning from Missed Opportunities Through Reflective Practice",

abstract = "Identification of diagnostic errors is difficult but is not alone sufficient for performance improvement. Instead, cases must be reflected on to identify ways to improve decision-making in the future. There are many tools and modalities to retrospectively reflect on action to study medical decisions and outcomes and improve future performance. Reflection in action-in which diagnostic decisions are considered in real-time-may also improve medical decision-making especially through strategies such as structured reflection. Ongoing regular feedback can normalize the discussion about improving decision-making, enable reflective practice, and improve decision making.",

keywords = "Case review, Diagnostic error, Learning, Reflection, Clinical Competence, Humans, Retrospective Studies",

author = "Astik, {Gopi J.} and Olson, {Andrew P.J.}",

note = "Funding Information: The authors have nothing to disclose.",

year = "2022",

month = jan,

doi = "10.1016/j.ccc.2021.09.003",

language = "English (US)",

volume = "38",

pages = "103--112",

journal = "Critical Care Clinics",

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T1 - Learning from Missed Opportunities Through Reflective Practice

AU - Astik, Gopi J.

AU - Olson, Andrew P.J.

N1 - Funding Information: The authors have nothing to disclose.

PY - 2022/1

Y1 - 2022/1

N2 - Identification of diagnostic errors is difficult but is not alone sufficient for performance improvement. Instead, cases must be reflected on to identify ways to improve decision-making in the future. There are many tools and modalities to retrospectively reflect on action to study medical decisions and outcomes and improve future performance. Reflection in action-in which diagnostic decisions are considered in real-time-may also improve medical decision-making especially through strategies such as structured reflection. Ongoing regular feedback can normalize the discussion about improving decision-making, enable reflective practice, and improve decision making.

AB - Identification of diagnostic errors is difficult but is not alone sufficient for performance improvement. Instead, cases must be reflected on to identify ways to improve decision-making in the future. There are many tools and modalities to retrospectively reflect on action to study medical decisions and outcomes and improve future performance. Reflection in action-in which diagnostic decisions are considered in real-time-may also improve medical decision-making especially through strategies such as structured reflection. Ongoing regular feedback can normalize the discussion about improving decision-making, enable reflective practice, and improve decision making.

KW - Case review

KW - Diagnostic error

KW - Learning

KW - Reflection

KW - Clinical Competence

KW - Humans

KW - Retrospective Studies

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U2 - 10.1016/j.ccc.2021.09.003

DO - 10.1016/j.ccc.2021.09.003

M3 - Review article

C2 - 34794624

AN - SCOPUS:85119301446

SN - 0749-0704

VL - 38

SP - 103

EP - 112

JO - Critical Care Clinics

JF - Critical Care Clinics

IS - 1

ER -

Learning from Missed Opportunities Through Reflective Practice

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

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