Situativity: A family of social cognitive theories for understanding clinical reasoning and diagnostic error

Jerusalem Merkebu; Michael Battistone; Kevin McMains; Kathrine McOwen; Catherine Witkop; Abigail Konopasky; Dario Torre; Eric Holmboe; Steven J. Durning

doi:10.1515/dx-2019-0100

Situativity: A family of social cognitive theories for understanding clinical reasoning and diagnostic error

Jerusalem Merkebu^*, Michael Battistone, Kevin McMains, Kathrine McOwen, Catherine Witkop, Abigail Konopasky, Dario Torre, Eric Holmboe, Steven J. Durning

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

39 Scopus citations

Abstract

The diagnostic error crisis suggests a shift in how we view clinical reasoning and may be vital for transforming how we view clinical encounters. Building upon the literature, we propose clinical reasoning and error are context-specific and proceed to advance a family of theories that represent a model outlining the complex interplay of physician, patient, and environmental factors driving clinical reasoning and error. These contemporary social cognitive theories (i.e. embedded cognition, ecological psychology, situated cognition, and distributed cognition) can emphasize the dynamic interactions occurring amongst participants in particular settings. The situational determinants that contribute to diagnostic error are also explored.

Original language	English
Pages (from-to)	169-176
Number of pages	8
Journal	Diagnosis
Volume	7
Issue number	3
DOIs	https://doi.org/10.1515/dx-2019-0100
State	Published - 1 Sep 2020

Keywords

clinical reasoning
complexity
diagnostic error
distributed cognition
ecological psychology
embodied cognition
situated cognition
situativity
social cognitive theory

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abstract = "The diagnostic error crisis suggests a shift in how we view clinical reasoning and may be vital for transforming how we view clinical encounters. Building upon the literature, we propose clinical reasoning and error are context-specific and proceed to advance a family of theories that represent a model outlining the complex interplay of physician, patient, and environmental factors driving clinical reasoning and error. These contemporary social cognitive theories (i.e. embedded cognition, ecological psychology, situated cognition, and distributed cognition) can emphasize the dynamic interactions occurring amongst participants in particular settings. The situational determinants that contribute to diagnostic error are also explored.",

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AU - Witkop, Catherine

AU - Konopasky, Abigail

AU - Torre, Dario

AU - Holmboe, Eric

AU - Durning, Steven J.

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Situativity: A family of social cognitive theories for understanding clinical reasoning and diagnostic error

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Keywords

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