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professionals who support the diagnostic process. Teamwork in the diagnostic process rarely involves static, fixed diagnostic teams; instead, participation in diagnosis is often dynamic and fluctuates over time, depending on what areas of expertise are needed to diagnose a specific patient and where the patient engages... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.639 | 0.826 | ["management", "career"] | 426 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.989760 | [
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diagnostic process is illustrated in Figure 4-3 . If there is good care coordination, a partnership is formed between a patient and his or her primary care team. If a patient develops symptoms that require further evaluation, the primary care team can collaborate with other health care professionals (such as pathologis... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.449 | 0.828 | ["management", "career", "economy", "philosophy"] | 426 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.989847 | [
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iagnostic process and coordinate subsequent care. The depiction in Figure 4-3 of the various ways that patients and health care professionals interact during the diagnostic process is likely an idealization of clinical practice. For example, patients and their families will often take on a significant burden of care co... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.491 | 0.854 | ["career", "salary"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.989914 | [
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nd payment incentives that do not promote care coordination ( Bodenheimer, 2008 ; Press, 2014 ). In addition, patients may lack a usual source of primary care, which can hinder care coordination efforts ( CDC, 2014 ; HHS, 2013 ). FIGURE 4-3 An example of diagnostic teamwork and the potential participants in the diagnos... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.623 | 0.846 | ["management", "communication", "salary"] | 451 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.989981 | [
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mong team members. NOTE: PT = physical therapist. Patients and Their Family Members The goal of patient engagement in diagnosis is to improve patient care and outcomes by enabling patients and their families to contribute valuable input that will facilitate an accurate and timely diagnosis and improve shared decision m... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.441 | 0.852 | ["management", "decision_making", "ethics", "family"] | 501 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.990043 | [
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es in diagnosis need to be individually tailored. Patients hold critical knowledge that informs the diagnostic process, such as knowledge of their health history, their symptoms, their exposure to individuals or environmental factors, the course of their condition, the medications they are taking, as well as knowledge ... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.405 | 0.854 | ["education", "philosophy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.990104 | [
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in a more complete version of their own medical records, and they can help ensure that test results are received and facilitate communication among their clinicians ( Gruman, 2013 ). Diagnosticians Diagnosticians are health care professionals (physicians, PAs, APNs, and others) who are educated and licensed to provide ... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.424 | 0.86 | ["career", "communication"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.990166 | [
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neral, physicians are expected to deal with a greater complexity of diagnostic tasks than other diagnosticians. In addition to diagnosing patients' health problems, diagnosticians often participate in a variety of other health care tasks, such as the provision of preventive care and the management of patients' chronic ... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.409 | 0.83 | ["strategy", "management"] | 451 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.990229 | [
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nclude both general and specialist practitioners. Their clinical reasoning skills come into play as they collect and integrate information from a patient's clinical history, interview, physical exam, diagnostic testing, and consultations with or referrals to other health care professionals (see Chapter 2 ). Pathologist... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.385 | 0.838 | ["philosophy", "career", "interview"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.990303 | [
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h as advising on the appropriate diagnostic testing for a particular patient and conveying the implications of the test results to treating health care professionals. 1 Despite the important roles that laboratory medicine, anatomic pathology, and medical imaging play in a diagnosis, pathologists and radiologists have s... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.467 | 0.848 | ["career", "economy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.990467 | [
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ot been adequately engaged in the diagnostic process and that better collaboration among all diagnostic team members is necessary ( Allen and Thorwarth, 2014 ; Kroft, 2014 ). The committee concluded that a culture that perpetuates the notion of anatomic pathology, laboratory medicine, and medical imaging as ancillary h... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.439 | 0.846 | ["economy", "communication", "rhetoric", "management", "war_conflict"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.990552 | [
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and support collaboration among pathologists, radiologists, other diagnosticians, and treating health care professionals to improve diagnostic testing processes . This includes collaboration throughout the testing process, including the ordering of appropriate tests or images, analysis and interpretation, the reporting... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.432 | 0.83 | ["communication", "economy", "rhetoric", "decision_making", "career"] | 511 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.990628 | [
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work collaboratively with other diagnosticians, such as sleep specialists, cardiologists, and others. Education and training of health care professionals also needs to ensure that they are prepared to work in this manner. Health Care Professionals Who Support the Diagnostic Process In addition to diagnosticians, the di... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.449 | 0.834 | ["career", "economy", "education"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.990734 | [
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scientists, pharmacists, patient navigators, social workers, therapists, nutritionists, and many others. These health care professionals play a crucial role by facilitating the diagnostic process through the performance of their tasks. Nurses in particular play a key role in the diagnostic process (see Box 4-2 ). Nurse... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.428 | 0.85 | ["communication", "management", "career", "philosophy"] | 511 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.990814 | [
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consistent with a working diagnosis, and identify potential diagnostic errors. Nurses facilitate patient engagement in the diagnostic process by communicating with patients about their history, actively listening to patients' descriptions of their reasons for a visit, documenting patients' symptoms, assessing vital sig... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.46 | 0.842 | ["philosophy", "management"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.990878 | [
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o present their observations and conclusions to other team members. The committee's understanding of nurses as crucial contributors to the diagnostic process builds on the recommendations of the IOM report The Future of Nursing: Leading Change, Advancing Health ( IOM, 2011a ). This report provided a road map for transf... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.57 | 0.86 | ["leadership", "management", "philosophy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.990969 | [
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X 4-2 Suggested Actions for Nurses to Improve Diagnosis and Reduce Diagnostic Error. Nurses should practice to the full extent of their education and training. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. Nurses should be... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.46 | 0.826 | ["education", "career"] | 432 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.991041 | [
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in redesigning health care in the United States. Effective workforce planning and policy making require better data collection and an improved information infrastructure. In the 5 years since the report's release, there has been increased awareness of and growing support for these recommendations in nursing schools, he... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.422 | 0.848 | ["strategy", "career", "war_conflict", "education", "philosophy"] | 511 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.991115 | [
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he “Future of Nursing: Campaign for Action,” an initiative designed to drive implementation of the report's recommendations. 2 Despite these efforts, progress in the implementation of these recommendations has been uneven. Reenvisioning the roles that nurses play in the diagnostic process is one component of these larg... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.368 | 0.842 | ["strategy", "economy", "philosophy"] | 492 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.991197 | [
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o play important roles in the diagnostic process. In some cases, radiology technologists take images and make decisions, such as how many and what type of images to take. For example, ultrasound technologists will capture images of normal structures and take additional images of any abnormalities they find. If the radi... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.382 | 0.846 | ["decision_making", "philosophy"] | 484 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.991260 | [
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ich may negatively impact the diagnostic process. Laboratory scientists are tasked with procuring samples, preparing samples for analysis, performing analyses, and ensuring that the testing tools are functioning properly. In some cases, these scientists may detect a specimen abnormality during the analysis process that... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.543 | 0.834 | ["economy", "philosophy"] | 511 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.991355 | [
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ss, especially in identifying and averting health problems that stem from drug side effects and interactions ( Hines and Murphy, 2011 ; Malone et al., 2005 ). Pharmacists and treating clinicians can collaborate to identify whether a patient's symptoms may be due to the side effects of a particular drug or the interacti... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.456 | 0.866 | ["war_conflict", "economy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.991418 | [
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e input in the selection of medications for a patient's health problem. Facilitating Teamwork in Clinical Practice Health care organizations play a critical role in ensuring effective teamwork. Thus, the committee recommends that health care organizations should facilitate and support intra- and interprofessional teamw... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.486 | 0.836 | ["management", "career"] | 473 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.991489 | [
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oy to improve teamwork in the diagnostic process. Creating a culture that encourages intra- and interprofessional collaboration is critical, as is designing a work system that is supportive of effective teamwork, including the use of results reporting tools that convey important information to the diagnostic team membe... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.559 | 0.85 | ["management", "communication", "economy", "rhetoric", "career"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.991563 | [
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, especially when geographically distant health care professionals are involved in the diagnostic process (see Chapter 5 ). The following section describes several opportunities for improving collaboration, such as care delivery reforms, treatment planning conferences, diagnostic management teams, integrated practice u... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.462 | 0.824 | ["innovation", "social_justice", "philosophy", "management", "communication"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.991629 | [
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cal homes (PCMHs) and accountable care organizations (ACOs)—have recently been implemented across the country as a means to improve patient care coordination and increase communication among health care professionals (see Chapter 7 ). PCMHs are designed to improve the quality of primary care by fostering a sense of par... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.392 | 0.858 | ["communication", "career", "family"] | 502 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.991697 | [
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( Health Affairs , 2010 ; Schoen et al., 2007 ). PCMHs can improve team-based care by acting as the nexus of coordination and communication for a patient and his or her health care professionals; recent evidence suggests that attempts to improve primary care by enhancing its role in coordination have shown some success... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.476 | 0.866 | ["communication", "management", "career", "philosophy"] | 511 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.991759 | [
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, and other PCMHs are trying new formats; for example, Maryland Blue Cross Blue Shield is offering incentives for physicians to form virtual panels that serve as de facto PCMHs ( CMS, 2013 ; Dentzer, 2012 ). Barriers to PCMHs include the high up-front costs associated with implementing the health IT infrastructure nece... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.368 | 0.866 | ["communication", "philosophy", "crisis", "economy", "rhetoric"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.991822 | [
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Crabtree et al., 2010 ; Rittenhouse et al., 2009 ). ACOs are organized groups of health care professionals, practices, or hospitals that work together to assume responsibility for and provide cost-effective care to a defined population of beneficiaries. The Affordable Care Act created ACOs to address delivery system fr... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.54 | 0.832 | ["communication", "career", "economy", "rhetoric"] | 449 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.991896 | [
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mong health care professionals ( Berwick, 2011 ). Although the evidence needed to evaluate the impact of ACOs on improved communication and care coordination is still being collected, there are early indications that ACOs can improve patient care. For example, the Medicare Physician Group Practice, the predecessor to A... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.462 | 0.86 | ["communication", "career", "education"] | 495 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.991995 | [
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were able to reduce overall costs ( CMS, 2013 ). As with PCMHs, high initial costs associated with health IT implementation are a barrier to implementation ( Kern, 2014 ). Treatment Planning Conferences Treatment planning conferences (also referred to as tumor boards) are a form of case review in which a multidisciplin... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.531 | 0.846 | ["strategy", "management", "career", "philosophy"] | 450 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.992099 | [
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nd treatment options of a patient” ( NCI, 2015 ). Treatment planning conferences are often held for specific types of cancers, and their participants may include surgeons, medical oncologists, radiologists, radiation oncologists, pathologists, nurses, and other collaborating health care professionals. These conferences... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.372 | 0.828 | ["strategy", "career", "economy"] | 470 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.992188 | [
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ent options for patients with a cancer diagnosis. An advantage of this approach is that it provides a collaborative environment where an intra- and interprofessional team of clinicians can share information and opinions. The evidence on whether treatment planning conferences improve patient outcomes is inconclusive; al... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.479 | 0.86 | ["strategy", "management", "career", "economy", "philosophy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.992270 | [
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nce ( Chang et al., 2001 ; Cohen et al., 2009 ; Newman et al., 2006 ; Pawlik et al., 2008 ; Santoso et al., 2004 ), a multisite study found that treatment planning conferences did not significantly improve the quality of care of patients ( Keating et al., 2012 ). Despite the mixed evidence, treatment planning conferenc... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.536 | 0.698 | ["strategy", "education"] | 441 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.992344 | [
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g multiple perspectives to challenging diagnoses. This approach could also be applied to diagnoses other than cancer, especially ones with serious health consequences or complex symptom presentations. Diagnostic Management Teams Health care organizations can support teamwork among pathologists, radiologists, other diag... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.614 | 0.804 | ["management", "communication", "career", "philosophy"] | 417 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.992422 | [
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ls by forming diagnostic management teams (DMTs). 3 For example, Vanderbilt University's DMT is designed to improve diagnosis through improved communication and access to diagnostic specialists; it offers participating health care professionals assistance in selecting appropriate diagnostic tests and interpreting diagn... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.45 | 0.84 | ["management", "philosophy", "communication", "career", "education"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.992500 | [
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they ensure that a clinically valuable interpretation is included in the test result report. Clinicians who participate in this process report a favorable view of DMTs, and although perceived high initial costs are a potential barrier, there is some evidence that DMTs can lower overall costs ( Seegmiller et al., 2013 )... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.387 | 0.864 | ["communication"] | 510 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.992572 | [
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he communication problems that result from system fragmentation ( Porter, 2010 ; Porter and Lee, 2013 ). An IPU is a group of clinicians and non-clinicians who are responsible for the comprehensive care of a specific medical condition and the associated complications or for a set of closely related conditions ( Porter ... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.407 | 0.872 | ["communication", "management"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.992656 | [
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, including inpatient care, outpatient care, and health care education. The IPU model, which has been applied to such conditions as breast cancer and joint replacement, has been shown to improve patient outcomes. For example, patients treated by a spinal care IPU were found to miss fewer days of work, require fewer phy... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.447 | 0.842 | ["education"] | 435 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.992726 | [
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ate their back problems ( Porter and Lee, 2013 ). Morbidity and Mortality Conferences Morbidity and mortality (M&M) conferences are forums that bring clinicians together to review cases involving medical errors and adverse events that have occurred. M&M conferences have been used to better understand how errors occur a... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.568 | 0.838 | ["communication"] | 454 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.992787 | [
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entions to address these failures ( AHRQ, 2008 ). These conferences have been used to elucidate the causes of diagnostic error and to help improve diagnostic performance ( Cifra et al., 2014 , 2015 ). Multidisciplinary Rounds Multidisciplinary rounds (also referred to as interdisciplinary rounds) bring health care prof... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.422 | 0.824 | ["communication", "career", "philosophy"] | 427 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.992849 | [
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the diagnosis and treatment of specific patients. These rounds may involve interacting with patients, or may be part of a lecture with a patient-actor. They provide an opportunity for health care professionals to learn how other health care professionals approach medical issues and to interact with health care professi... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.58 | 0.846 | ["career", "education"] | 511 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.992935 | [
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and enhancements in resident education ( O'Mahony et al., 2007 ). PATIENT ENGAGEMENT IN DIAGNOSIS The IOM report Crossing the Quality Chasm: A New Health System for the 21st Century highlighted patient-centeredness as a core aim of the health care system and defined it as “providing care that is respectful of and respo... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.405 | 0.85 | ["ethics", "decision_making", "education"] | 462 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993000 | [
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uide all clinical decisions” ( IOM, 2001 , p. 6). A critical feature of patient-centeredness is the active engagement and shared decision making of patients and their families in the patients' health care. Patient engagement has been defined as “actions [people] take to support their health and benefit from health care... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.572 | 0.874 | ["decision_making"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993061 | [
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aray et al., 2014 ; Glickman et al., 2010 ; Lucian Leape Institute, 2014 ; Safran et al., 1998 ; Sequist et al., 2008 ; Weingart, 2013 ). The goal of patient engagement in diagnosis is to improve patient care and outcomes by enabling patients and their families to contribute valuable input that will facilitate an accur... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.591 | 0.874 | ["decision_making", "crisis"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993115 | [
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patient engagement in diagnosis, and the committee makes one recommendation to improve patient and family engagement in the diagnostic process. Challenges to Patient Engagement in Diagnosis Patients and their families may not be effectively engaged in the diagnostic process for a variety of reasons, including both pati... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.425 | 0.844 | ["crisis", "family", "career", "philosophy"] | 492 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993178 | [
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and Family Engagement in the Diagnostic Process. Patient-Related Factors The patient-related factors that prevent active engagement in the diagnostic process can include unfamiliarity with and poor access to the health care system; difficulty with communication due to language, health literacy, and cultural barriers; a... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.44 | 0.848 | ["communication", "ethics", "crisis", "family"] | 511 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993232 | [
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rences, and ability to engage in the diagnostic process vary considerably. Some patients may fear asserting themselves in the diagnostic process because they do not want to appear to be difficult and risk alienating their clinician, which could affect the quality of their care ( Frosch et al., 2012 ). In one study invo... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.502 | 0.872 | ["crisis", "education", "philosophy"] | 508 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993289 | [
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health care organization ( Mazor et al., 2012 ). A patient may also feel uncomfortable asking for a referral to seek a second opinion or asking to see a more experienced clinician ( Entwistle et al., 2010 ). The stress that patients feel related to their health, to navigating the health care system, to missing work, or... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.566 | 0.854 | [] | 429 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993356 | [
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to participate in their own care ( Evans, 2013 ). A patient's symptoms and severity of illness can also prevent active engagement in the diagnostic process. Access to the health care system varies across patients, depending on factors such as health insurance coverage, socioeconomic status and the affordability of heal... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.422 | 0.83 | [] | 417 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993428 | [
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tes, which in turn can affect the patient's care. For example, the location of health care facilities and the hours of availability for patient care can affect a patient's access to health care. Poor access to, and unfamiliarity with, the health care system may contribute to delays in seeking care for symptoms, which c... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.406 | 0.86 | ["leadership"] | 473 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993525 | [
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invasive treatment which could have been avoided. Certain populations are more likely to have difficulty obtaining care, including racial and ethnic minorities and individuals of low socioeconomic status ( AHRQ, 2013a , b ). Cultural and language barriers can be significant challenges that prevent patients from fully e... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.437 | 0.86 | ["crisis", "family"] | 511 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993587 | [
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an English at home report not being able to speak English well or at all ( Ryan, 2013 ). The IOM report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care noted that “Language barriers may affect the delivery of adequate care through poor exchange of information, loss of important cultural info... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.558 | 0.85 | ["philosophy", "decision_making", "ethics", "crisis", "negotiation"] | 493 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993659 | [
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taining informed consent)” ( IOM, 2003b , p. 17). In addition, The Joint Commission has found that miscommunications and misunderstandings increase the risk for adverse events in health care ( The Joint Commission, 2007 ). These barriers have also been associated with diagnostic errors ( Flores, 2006 ; Marcus, 2003 ; P... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.451 | 0.86 | ["communication", "philosophy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993721 | [
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ensure that language services, such as those provided by interpreters, are available and that educational literature is provided in languages other than English ( HHS, 2015 ). Despite these steps, a study found that even when hospitals have a policy regarding language services, they often do not provide staff with the ... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.55 | 0.71 | ["education"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993779 | [
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y of the translated literature ( Wilson-Stronks, 2007 ). Even if a patient speaks the same language as his or her clinicians, there can be communication challenges if the patient has limited health literacy or if clinicians use unfamiliar medical terminology ( IOM, 2004 ). In the United States more than 80 million adul... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.563 | 0.87 | ["communication", "crisis", "philosophy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993842 | [
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understand basic health information and services needed to make appropriate health decisions” ( AHRQ, 2011 , p. ES-1). Health literacy requires applying a complex set of skills involving reading, listening, analysis, and decision making to health settings ( NNLM, 2013 ). Patients lacking health literacy skills may be l... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.58 | 0.848 | ["decision_making", "philosophy"] | 463 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993900 | [
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the planned path of care ( Peters et al., 2007 ). A recent study indicated that a group of medical trainees, including PA and MD students, lacked confidence in their ability to communicate effectively with patients with low health literacy ( Ali et al., 2014 ). There is a tremendous amount of information and resources ... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.424 | 0.85 | ["communication", "resume", "education", "philosophy"] | 457 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.993968 | [
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agnoses and to plan for health care appointments. A 2013 Pew Research Center study found that 35 percent of American adults have used online resources to diagnose a condition in themselves or someone else ( Fox and Duggan, 2013 ). These resources have varying levels of accuracy, and patients may have difficulty assessi... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.484 | 0.84 | ["crisis", "education", "philosophy"] | 411 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.994025 | [
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e to them ( NLM, 2012b ; Semigran et al., 2015 ). Clinicians may also react negatively to patients' use of this information in clinical visits ( Julavits, 2014 ). Patients' level of comfort with actively engaging in care decisions, such as asking questions, stating preferences, or seeking alternative opinions, may diff... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.414 | 0.862 | ["decision_making", "philosophy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.994094 | [
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hile others would rather defer to their clinicians' judgment ( Fowler, 2011 ). In a national survey, the majority of respondents reported that they would like clinicians to effectively engage them in health care decision making by talking about their diagnosis and explaining the options available, including the risks a... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.551 | 0.868 | ["decision_making"] | 511 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.994153 | [
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red to be asked questions and to be given choices regarding their care, and approximately half preferred to have their clinicians make the final decisions ( Levinson et al., 2005 ). Clinicians may not be aware of—or they may misjudge—the role that a patient desires to play in decision making, and as a result they may m... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.425 | 0.862 | ["decision_making", "war_conflict"] | 472 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.994214 | [
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preference misdiagnosis ( Mulley et al., 2012 ). Factors such as age, gender, medical history, familiarity with the health care system, socioeconomic status, and cultural issues can factor in to patients' preferences regarding engagement and shared decision making ( Boyer et al., 2001 ; Cox et al., 2012 ; Lipson et al.... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.46 | 0.87 | ["decision_making", "education"] | 510 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.994287 | [
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e active role in decisions regarding their health ( Arora and McHorney, 2000 ; Deber et al., 2007 ; Say et al., 2006 ). A survey of low-income patients faced with major medical decisions found that 75 percent wanted to be very involved in the decision-making process ( BSCF, 2014 ). Health Care Professional and System F... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.478 | 0.884 | ["decision_making", "career"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.994403 | [
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Funnell, 2005 ; Sarkar et al., 2012 , 2014 ; Stevenson, 2003 ). Compared to more procedure-oriented tasks, fee-for-service payment does not incentivize the time spent on evaluation and management services that reflect the cognitive expertise and skills that clinicians employ in the diagnostic process ( National Commiss... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.381 | 0.858 | ["salary", "communication", "management", "innovation", "interview"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.994513 | [
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e rushed and patients may not have time to thoroughly discuss their symptoms and health concerns, although new models of payment and care delivery may make this a higher priority ( AHRQ, 2014c ; Cosgrove et al., 2013 ; Roades, 2013 ) (see Chapter 7 ). Time pressures may also lead to an overreliance on diagnostic testin... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.431 | 0.876 | ["salary"] | 479 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.994580 | [
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evin, 2012 ; Zhi et al., 2013 ) (see Chapter 3 ). The use of EHRs may also lead to problems with patient engagement, as health care professionals may be distracted from communicating with patients as they enter information in the EHR ( O'Malley et al., 2010 ; Spain, 2014 ) (see Chapter 5 ). Although many clinicians are... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.397 | 0.882 | ["career", "philosophy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.994647 | [
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nt ( Graedon and Graedon, 2014 ; Haskell, 2014 ; IOM, 2013a ; Julavits, 2014 ). In interactions with patients, certain clinician behaviors can discourage open communication and patient engagement, including being dismissive of a patient's complaints and their knowledge of their symptoms, not listening, or interrupting ... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.515 | 0.862 | ["education", "communication"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.994713 | [
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tered the room, patients spoke without being interrupted for an average of only 12 seconds; the clinicians frequently interrupted the patients before they had finished speaking ( Rhoades et al., 2001 ). Clinicians' vulnerability to cognitive and affective biases may also contribute to behaviors that hinder patient enga... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.575 | 0.852 | ["communication"] | 511 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.994792 | [
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ty, sexual orientation, age, obesity, a patient's health problem (e.g., chronic pain, mental health), or other factors ( IOM, 2003b , 2011b , c , 2012e ; Puhl and Brownell, 2001 ; Schwartz et al., 2003 ). For example, clinicians may be judgmental or blame patients for their illnesses, and this could affect a patient's ... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.491 | 0.868 | ["decision_making", "war_conflict", "philosophy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.994885 | [
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ns, such as their sexual orientation, due to a fear that such disclosure could negatively affect their care ( Durso and Meyer, 2013 ; Foglia and Fredriksen-Goldsen, 2014 ; IOM, 2011b ). If this information is not disclosed, Foglia and Fredriksen-Goldsen (2014) note that it could result in diagnostic error, such as a de... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.583 | 0.862 | ["philosophy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.994969 | [
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n the part of health care providers may contribute to racial and ethnic disparities in healthcare” ( IOM, 2003b , p. 12). For example, one study found that a patient's race and gender independently influenced how physicians managed chest pain; physicians were significantly more likely to refer white men exhibiting sign... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.487 | 0.846 | ["education"] | 452 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.995039 | [
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with the same symptoms ( Schulman et al., 1999 ). Clinicians may also disregard symptoms in patients with previous diagnoses of mental illness or substance abuse and may attribute new physical symptoms to a psychological cause without a proper evaluation. Alternatively, clinicians may incorrectly diagnose or assume psy... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.468 | 0.85 | [] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.995096 | [
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s; a mistake known as a “psych-out error” ( Croskerry, 2003 ). Fragmentation of health care and poor coordination of care hinder patient engagement and can contribute to errors in diagnosis ( CFAH, 2014c ; Gandhi and Lee, 2010 ; Gandhi et al., 2006 ; IOM, 2013a ; Schiff, 2008 ; Starfield, 2000 ). In cases where there i... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.451 | 0.862 | ["communication", "career", "philosophy"] | 484 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.995171 | [
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nformation among their health care professionals. For example, one survey found that approximately 25 percent of patients reported that their doctors did not share information about their medical history or test results with other health care professionals involved in a patient's care ( Stremikis et al., 2011 ). Limite... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.523 | 0.85 | ["philosophy", "career", "economy"] | 497 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.995244 | [
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icians and health care settings (see Chapter 5 ). Improving Patient Engagement in the Diagnostic Process Patients and their families play a crucial role in the diagnostic process but the ultimate responsibility for supporting and enabling patient and family engagement in the diagnostic process rests with health care pr... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.448 | 0.848 | ["career", "family"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.995311 | [
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rocess, with valuable contributions that can improve diagnosis and avert diagnostic errors. Thus, the committee recommends that health care professionals and organizations should partner with patients and their families as diagnostic team members and facilitate patient and family engagement in the diagnostic process, a... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.456 | 0.84 | ["career", "family", "management", "ethics", "education"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.995366 | [
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ittee recommends that health care professionals and organizations provide patients with opportunities to learn about the diagnostic process . One of the challenges that patients and their families face with diagnosis is their unfamiliarity with the process; thus, informing patients and their families about it has the p... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.497 | 0.85 | ["crisis", "career", "philosophy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.995438 | [
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, such as a “differential diagnosis” or a “working diagnosis,” 4 and also with the role of time in the process. For example, a health care professional may propose a working diagnosis if there is some uncertainty in the diagnosis, and this may change with new information. For some health problems, watchful waiting is a... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.46 | 0.846 | ["philosophy", "career"] | 442 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.995516 | [
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s a better understanding of their health problem. It is also important that patients understand when and who to contact if their symptoms do not resolve or if they experience new symptoms that do not seem to fit with a working diagnosis. Providing information explaining the roles and tasks of the various individuals in... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.608 | 0.832 | ["philosophy"] | 411 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.995575 | [
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more active engagement in the diagnostic process. A number of groups have developed information and resources to help patients become more actively involved in their health care, including the diagnostic process ( CFAH, 2014c ; The Joint Commission, 2015 ; Josiah Macy Jr. Foundation, 2014 ; Lucian Leape Institute, 2014... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.443 | 0.856 | ["philosophy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.995632 | [
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ng information about communicating with clinicians, organizing health care, seeking knowledge about health, and other topics ( CFAH, 2014a , b ). The Speak Up™ Program offers materials to help patients become more actively involved in their care and avoid errors ( The Joint Commission, 2015 ). The National Patient Safe... | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.575 | 0.862 | ["education", "philosophy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.995697 | [
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gnosis (see Boxes 4-4 and 4-5 ) ( Kaiser Permanente, 2012 ; NPSF and SIDM, 2014 ). The actions suggested in the resources include having a thoroug | https://www.ncbi.nlm.nih.gov/books/NBK338597/ | Diagnostic Team Members and Tasks: Improving Patient Engagement and Health Care Professional Education and Training in Diagnosis - Improving Diagnosis in Health Care - NCBI Bookshelf | ncbi.nlm.nih.gov | public_domain | false | 0.543 | 0.754 | [] | 146 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:30.995757 | [
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Front Psychol . 2022 Sep 29;13:879412. doi: 10.3389/fpsyg.2022.879412 What hinders team innovation performance? Three-way interaction of destructive leadership, intra-team conflict, and organizational diversity Suk Bong Choi Suk Bong Choi 1 College of Global Business, Korea University, Sejong City, South Korea Find art... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.595 | 0.856 | ["leadership", "management", "education", "innovation", "war_conflict"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.225031 | [
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by Ki Baek Jung 1 , Seung-Wan Kang Seung-Wan Kang 2 College of Business, Gachon University, Seongnam, South Korea Find articles by Seung-Wan Kang 2, * Author information Article notes Copyright and License information 1 College of Global Business, Korea University, Sejong City, South Korea 2 College of Business, Gachon... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.489 | 0.696 | ["education", "philosophy"] | 485 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.225260 | [
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écnico de Leiria, Portugal Reviewed by: Sergio A. Useche, University of Valencia, Spain; Pouya Zargar, Girne American University, Cyprus ✉ *Correspondence: Suk Bong Choi, sukchoi@korea.ac.kr * Seung-Wan Kang, global7@gachon.ac.kr This article was submitted to Organizational Psychology, a section of the journal Frontier... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.563 | 0.674 | ["education"] | 439 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.225397 | [
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date 2022. Copyright © 2022 Choi, Jung and Kang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the origin... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.49 | 0.852 | ["innovation"] | 497 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.225517 | [
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permitted which does not comply with these terms. PMC Copyright notice PMCID: PMC9556773 PMID: 36248518 Abstract This paper aims to clarify the impact of destructive leadership on team innovation performance. It also explores the relevant conditions that maximize the above relationship. Specifically we examine how intr... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.401 | 0.816 | ["leadership", "management", "innovation", "networking", "philosophy"] | 446 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.225703 | [
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structive leadership team innovation performance. Finally the three-way interaction between destructive leadership intra-team conflict organizational diversity is analyzed for the worst conditions to maximize the negative effect of destructive leadership on team innovation performance. This paper used a cross-sectional... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.586 | 0.812 | ["leadership", "management", "innovation", "philosophy", "war_conflict"] | 441 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.225884 | [
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rs working in Korean manufacturing service firms. It applied a hierarchical regression analysis to test the hypothesized relationships including three-way interaction effect among destructive leadership intra-team conflict organizational diversity on team innovation performance. This paper provided empirical insights a... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.4 | 0.83 | ["management", "leadership", "innovation", "war_conflict", "philosophy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.226089 | [
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igher the levels of both intra-team conflict organizational diversity the greater the negative effect of destructive leadership on team innovation performance. This paper demonstrates how team leaders’ behavior team organizational conditions result in discouraging overall innovation outcomes. This paper contributes to ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.584 | 0.828 | ["leadership", "management", "innovation", "philosophy", "war_conflict"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.226210 | [
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itions their dynamic interaction strengthening the negative effect of destructive leadership on team innovation performance. Keywords: destructive leadership, intra-team conflict, organizational diversity, innovation performance, three-way interaction Introduction Previous studies have analyzed negative leadership thro... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.445 | 0.834 | ["leadership", "management", "innovation", "philosophy", "strategy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.226354 | [
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eton, 1995 ), psychopaths ( Furnham and Taylor, 2004 ), and toxic leaders ( Lipman-Blumen, 2006 ). Leaders’ destructive behavior, including taking actions not aligned with the goals of the organization, has also been studied ( McCall and Lombardo, 1983 ; Lipman-Blumen, 2006 ; Einarsen et al., 2007 ). Based on these stu... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.402 | 0.864 | ["leadership"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.226514 | [
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resources, and efficiency as well as members’ motivation, well-being, and job satisfaction ( Einarsen et al., 2007 ). This leader’s destructive and abusive behaviors also influenced a psychosocial work environment which in turn has been related to negative health outcomes of employee ( Useche et al., 2019 ). This psych... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.415 | 0.85 | ["leadership", "motivation", "career", "war_conflict"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.226612 | [
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member interaction, and conflict and diversity situation among work team members. Thus, understanding effects of negative leadership style and work condition is an important clue for reducing employee stress and burnout, and eventually increasing their health and welfare ( Sangal et al., 2021 ). In this vein, destructi... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.437 | 0.846 | ["leadership", "management", "war_conflict"] | 511 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.226716 | [
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nd health of employees by increasing the workload and workaholism ( Molino et al., 2019 ), sleep problems ( Salanova et al., 2016 ). It also negatively affect psychological recovery, resulting in burnout and exhaustion ( Derks and Bakker, 2014 ; Molino et al., 2019 ), and unnecessary intra-conflict situation ( Jehn et ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.594 | 0.704 | ["leadership", "war_conflict"] | 464 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.226811 | [
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our main topic has the following characteristics. First, it includes various behavior types of destructive leaders such as physical, verbal, active, passive, direct, and indirect behaviors that hinder employees’ work motivation ( Namie and Namie, 2000 ; Tepper, 2000 ). Second, a leader may misuse or abuse their power t... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.386 | 0.852 | ["leadership", "motivation"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.226906 | [
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nizational efficiency ( Vredenburgh and Brender, 1998 ). We speculate that it profoundly influences employees’ innovative intention and eventually team innovation performance. Third, destructive leadership is systematic and repetitive, for example, behavior that is repeated every week, or over 6 months ( Einarsen et al... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.46 | 0.848 | ["leadership", "management", "innovation", "philosophy"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.226991 | [
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ve behaviors can result from carelessness, insensitivity, or lack of leadership capability ( Einarsen et al., 2007 ). Fifth, destructive leadership includes the violation of the legitimate interest of the organization which according to Sackett and DeVore (2001) is illegal, immoral, or deviant. For example, behavior th... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.446 | 0.84 | ["leadership", "decision_making", "ethics"] | 468 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.227093 | [
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s destructive behavior ( Einarsen et al., 2007 ). Additionally, national and international standards, laws, and contracts must be implemented by all members of the organization and infringing these regulations can be considered destructive leadership ( Einarsen et al., 2007 ). Destructive leadership is being actively s... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9556773/ | What hinders team innovation performance? Three-way interaction ... | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.476 | 0.854 | ["leadership", "communication", "governance"] | 512 | Team Health Diagnosing Dysfunction | topic | 2026-04-14T23:38:31.227188 | [
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