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Journal Article > Study
Influence of doctor–patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study.
Amelung D, Whitaker KL, Lennard D, et al. BMJ Qual Saf. 2019 Jul 20; [Epub ahead of print].
Despite many advances in cancer treatment, delays in cancer diagnosis cause substantial morbidity and mortality. System factors like difficulty obtaining appointments contribute to late cancer diagnoses. Timely cancer diagnosis also requires that patients and physicians communicate effectively about next steps in the workup of symptoms. This qualitative study recorded videos of patient–physician interactions and found that 31% of the time, doctors and patients did not align in their perception of the seriousness of a given symptom. The authors theorized that misalignment leads to missed follow-up testing and deterioration in patient–physician trust. A WebM&M commentary described how the cost of a diagnostic test led to a late diagnosis of colon cancer.
Journal Article > Commentary
Blease CR, Bell SK. Diagnosis (Berl). 2019;6:213-222.
Despite growing support for patient involvement in safety and quality improvement, little is known about engaging patients as partners in reducing diagnostic error. This commentary summarizes research on how sharing notes with patients can improve the timeliness of follow-up to confirm a diagnosis, identify documentation errors, and strengthen communication between the clinical team and the patient. The authors discuss challenges to the successful implementation of this strategy and areas of focus needed for future development. A PSNet interview discussed use of OpenNotes to engage patients in their care.
Special or Theme Issue
Main EK, Fowler JM, Gabbe SG, eds. Clin Obstet Gynecol. 2019;62:vii-xii,403-626.