RT Book, Section A1 Beer, Laurence A1 Golub, Lucas A1 Smith, Dustin T. A2 McKean, Sylvia C. A2 Ross, John J. A2 Dressler, Daniel D. A2 Scheurer, Danielle B. SR Print(0) ID 1137605362 T1 Diagnostic Reasoning and Decision Making T2 Principles and Practice of Hospital Medicine, 2e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071843133 LK accessmedicine.mhmedical.com/content.aspx?aid=1137605362 RD 2024/04/19 AB Diagnosis is the art of identifying a disease by the signs, symptoms, and test results of a patient. Diagnosis stems from the Greek word, diagignoskein, which means to distinguish or discern. Indeed, the ability to distinguish or discern a patient’s underlying illness is critical to being an effective clinician as a hospital medicine provider. In many cases, hospitalized patients may be quite complicated with multiple competing possible reasons to explain their underlying signs or symptoms. Patients do not always read textbook (ie, they may not always describe their symptoms or have findings on exam that are pathognomonic or as classically described). Therefore, diagnostic reasoning and diagnostic decision making are crucial skills for hospital medicine providers. In addition, cognitive biases exist and diagnostic errors occur when there is any mistake or failure in the diagnostic process that leads to a misdiagnosis, a missed diagnosis, or a delayed diagnosis. This chapter will discuss diagnostic reasoning and diagnostic decision making.