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- W2035443695 abstract "El primer artículo de esta serie sobre seguridad clínica lo dedicamos a la epidemiología y a las políticas preventivas de tipo sistémico. En la presente revisión nos centraremos en los errores médicos con especial énfasis en los errores de tipo diagnóstico. Estos errores derivan de las características a veces elusivas de la propia enfermedad, las circunstancias en que el paciente presenta sus síntomas, y las características del propio profesional. Si consideráramos al clínico como una «máquina de diagnóstico» -paradigma del «médico-robot»-, nos sería más fácil admitir unas limitaciones cognitivas, y poner en marcha estrategias institucionales que humanizarían el trato que en ocasiones recibe. De manera más concreta examinaremos 3 estrategias de mejora del razonamiento clínico: reconocimiento de situaciones peligrosas, metacognición y supervisor interno. The first article of this series on Clinical Safety was dedicated to the epidemiology and systemic preventive policies. In the present review we focus on medical errors with special emphasis on diagnostic type errors. These errors sometimes arise from the elusive characteristics of the disease itself, the way in which the patients present their symptoms, and the characteristics of the professionals themselves. If we consider a general practitioner as a diagnostic machine, -paradigm of “physician as a robot”- it would be easier for us to accept some cognitive limitations and introduce institutional strategies that would humanise the treatment occasionally received. More specifically we will examine three strategies for improving clinical reasoning: recognising dangerous situations, metacognition, and an internal supervisor." @default.
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- W2035443695 date "2012-08-01" @default.
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- W2035443695 title "Seguridad clínica en atención primaria. los errores médicos (II)" @default.
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- W2035443695 doi "https://doi.org/10.1016/j.aprim.2011.07.013" @default.
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