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dc.contributor.authorHart, J
dc.contributor.authorCox, CL
dc.contributor.authorKuhn, I
dc.contributor.authorFritz, Z
dc.date.accessioned2021-11-25T11:49:43Z
dc.date.available2021-11-25T11:49:43Z
dc.date.issued2021
dc.identifier.issn1747-4884
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/331134
dc.description.abstractBACKGROUND: diagnostic uncertainty is ubiquitous. Its communication to patients requires further investigation. AIMS: To determine: 1) What is known about how and why diagnostic uncertainty is communicated in acute care; 2) evidence of the effects of (not) communicating diagnostic uncertainty in the acute setting; 3) associated ethical issues. METHODS: systematic review of Medline, Web of Science and SCOPUS for (acute or emergency care) AND (diagnostic uncertainty) AND (ethics OR behaviours). Critical interpretive synthesis and ethical analysis were conducted. RESULTS AND CONCLUSION: Nine studies (primarily surveys and interviews) were identified. Doctors are not trained in communicating diagnostic uncertainty and perceive it to have negative effects on patients; however not communicating diagnostic uncertainty can disempower patients, resulting in delayed/missed diagnoses or inappropriate use of resource.
dc.format.mediumPrint
dc.languageeng
dc.publisherRila Publications Ltd
dc.rightsAll rights reserved
dc.rights.urihttp://www.rioxx.net/licenses/all-rights-reserved
dc.subjectCommunication
dc.subjectEmergency Service, Hospital
dc.subjectEthical Analysis
dc.subjectHumans
dc.subjectSurveys and Questionnaires
dc.subjectUncertainty
dc.titleCommunicating diagnostic uncertainty in the acute and emergency medical setting: A systematic review and ethical analysis of the empirical literature.
dc.typeArticle
prism.endingPage218
prism.issueIdentifier3
prism.publicationDate2021
prism.publicationNameAcute Med
prism.startingPage204
prism.volume20
dc.identifier.doi10.17863/CAM.78581
dc.identifier.doi10.17863/CAM.78581
dcterms.dateAccepted2021-07-18
rioxxterms.versionofrecord10.52964/AMJA.0865
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2021-01
dc.contributor.orcidKuhn, Isla [0000-0002-2879-4020]
dc.contributor.orcidFritz, Zoe [0000-0001-9403-409X]
dc.identifier.eissn1747-4892
rioxxterms.typeJournal Article/Review
pubs.funder-project-idWellcome Trust (208213/Z/17/Z)
cam.issuedOnline2021-09-30
cam.orpheus.success2022-03-07: indefinite embargo already applied according to journal policy
rioxxterms.freetoread.startdate2100-01-01


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