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SBE 2020: Submission Detail

ID Number: 310
Title: Research Needed for Efficient Development and Evaluation of Methods for Transferring Diagnostic Practices to the Clinic
Lead Author: Hamm, Robert M
Abstract: In many fields professional decision makers must assess the present, uncertain situation and categorize it, with different actions depending on those categories. Often it is well understood how to use the information optimally to diagnose the situation, but the individuals in the distributed operational contexts do not diagnose in this way. Often it is well understood how to support people's diagnostic reasoning with information or with diagnostic aids, but those aids are not adopted into the work patterns in the various work sites. Resistance to adoption of optimal diagnostic processes may be attributed to system complexity, individuals' habits of diagnosis, and the stability and inertia due to mutually reinforcing relationships among different actors, procedures, and information systems within a situation. The dissemination of more accurate diagnosis practices to all diagnosers in all situations must overcome these and other sources of resistance. Research methods for producing and testing implementation plans are coarse and expensive, and thus slow and inadequate. The scientific challenge is to improve the methodologies for discovering, selecting, and evaluating effective ways to disseminate the best diagnostic practices to all operational contexts.
PDF: Hamm_Robert_310.pdf

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