正确的诊断源于科学的思维

The Correct Clinical Decision Comes from Scientific Thinking

正确的临床思维是批判性思维,是不断分析、证实、补充、修改临床决策的思维过程;降阶梯思维是临床思维的第一原则,是保障病人安全的根本;重视病人的症状学,以症状学导向的诊疗模式更符合疾病诊断的临床实践,是通向病人“真实世界”的便捷、高效途径;大型仪器检查是医生思维的延伸,不能有效扩展医生的横向思维;建立思维“清单”可以减轻医生记忆负担,减少漏诊的可能性;流程化思维是将复杂的临床决策过程简单化并流程化落实的思维过程。

The correct clinical reasoning is critical thinking,which is the thinking process of continuous analysis,confirmation,supplement and modification of clinical decision-making.The step-down thinking is the first principle of clinical reasoning,which is the basis of ensuring safety of patients.Symptomatology is very important.The symptom-guided diagnosis and treatment model is more in line with the clinical practice,which is also a convenient and efficient way to reflect the"real world"of patients.Examination of large medical equipment is the extension of doctor's thinking,but which cannot effectively open up the lateral thinking for doctors.Establishing the thinking"check list"can reduce the memory burden of doctors and reduce the possibility of misdiagnosis.The process thinking is the measure to simplify the complex clinical decision-making.