DOI

10.17077/etd.idk14ias

Document Type

Thesis

Date of Degree

Summer 2017

Access Restrictions

.

Degree Name

MS (Master of Science)

Degree In

Industrial Engineering

First Advisor

Pennathur, Priyadarshini R.

First Committee Member

Kusiak, Andrew

Second Committee Member

Ayres, Lioness

Third Committee Member

Durairaj, Lakshmi

Abstract

Diagnostic errors cause significant patient harm and occur among 15 percent of all clinical diagnoses, but research has yet to effectively target, prevent, and mitigate diagnostic errors from occurring. So far, literature has examined how diagnostician decision-makers perform and reach a clinical diagnosis individually. However, the impact of team-based activities on diagnosis is unknown. The purpose of this study is to describe provider perception on how providers come together as a team in order to complete a clinical diagnosis. As a qualitative descriptive study with overtones of grounded theory, 18 semi-structured interviews of medical intensive care unit providers were audio-recorded, transcribed, and coded generating themes of diagnostic teamwork structure and functioning. Diagnostic teams are described using themes of inter-professional and intra-professional teamwork among roles with and without diagnostic team identity. Novel approaches to diagnostic error research, practice implications for current providers, and applications provided for improving education and team training. By providing preliminary insights on the role of teamwork in diagnostic decision-making, this study may assist future studies that improve diagnostic teamwork and prevent diagnostic errors.

Keywords

Decision-Making, Diagnostic Error, Human Factors, Intensive Care Medicine (ICU), Medical Error, Teamwork

Pages

x, 101 pages

Bibliography

Includes bibliographical references (pages 93-100).

Copyright

Copyright © 2017 Brennan S. Ayres

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