通用临床推理:优化患者的护理和方法
Getting the correct diagnosis as soon as possible, without unnecessary tests or trials of failed treatment, is the goal and hallmark of excellent healthcare. Clinical reasoning is central to the goal of rapidly deducing the correct clinical diagnosis whilst continuing to be safe and careful. This reasoning is also required to make optimal, patient-centred decisions afterwards.Commonplace healthcare and training are far from attaining this goal. Inability to correctly diagnose patients is often accompanied by mistakes, wastage, and sometimes allegations of medical malpractice. Some countries like the USA have great wealth and advanced technology, yet consistently have poor overall outcomes and significant medicolegal litigation. Healthcare training is fragmented and flawed, with multiple styles and approaches without any unifying, clear path for learners.This book aims to address all of those limitations.Clinical reasoning is defined in a universal, simple and practical manner for all healthcare trainees, professionals and leaders. The learning journey for this skill is described, and applies for any patient in any setting. In so doing, this method aims to accelerate the acquisition of competence, and increase the extent of achieved competence.
尽快获得正确的诊断,避免不必要的检查或对失败治疗的尝试,是优质医疗护理的目标和标志。临床推理对于迅速得出正确的临床诊断并同时保持安全和谨慎至关重要。这种推理同样用于之后做出最优、以患者为中心的决定。常见的医疗服务和培训远远达不到这一目标。错误地诊断患者的状况常常伴随着失误、浪费甚至有时会被指控为医疗疏忽。一些国家如美国拥有巨大的财富和先进的技术,但却经常出现总体效果不佳且有显著的医疗法律诉讼。医疗培训是碎片化的并且存在缺陷,没有统一清晰的学习路径供学习者遵循。这本书旨在解决所有这些局限性。本书以通用、简单和实用的方式定义临床推理,适用于所有医疗培训人员、专业人士和领导者。描述了这一技能的学习旅程,并适用于任何患者在任何环境中。通过这样做,该方法旨在加速能力的获取,并增加实现的能力范围。
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