Finding a balance between certainty and doubt was a fine and often incorrectly crossed line in my General Practice experience and is now recignuzed in national the English NHS Martha's rule [*see note below] which has already been implemented 10,000 times with 3000 improvements in diagnosis or management.
I believed that patients could have a better chance from my care if they could have a second bite at their diagnosis cherry by re-using and sharing the data and diagnoses in my records.
Charlotte Blease's research (*) has supported the logic of doubt, uncertainty, and second opinions.
"Br Bot - how doctirs fail us and how AI could save lives " Charlotte Blease Yale University Press.
R
HIFA profile: Richard Fitton is a retired family doctor - GP. Professional interests: Health literacy, patient partnership of trust and implementation of healthcare with professionals, family and public involvement in the prevention of modern lifestyle diseases, patients using access to professional records to overcome confidentiality barriers to care, patients as part of the policing of the use of their patient data Email address: richardpeterfitton7 AT gmail.com
[*Note from HIFA moderator (NPW): 'Martha’s Rule is a patient safety initiative to support the early detection of deterioration by ensuring the concerns of patients, families, carers and staff are listened to and acted upon.' https://www.england.nhs.uk/patient-safety/marthas-rule/ ]