Alby2015

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Alby2015
BibType ARTICLE
Key Alby2015
Author(s) Francesca Alby, Cristina Zucchermaglio, Mattia Baruzzo
Title Diagnostic Decision Making in Oncology: Creating Shared Knowledge and Managing Complexity
Editor(s)
Tag(s) Medical EMCA, Oncology, Decision, Sequence organization, Italian
Publisher
Year 2015
Language
City
Month
Journal Mind, Culture, and Activity
Volume 22
Number 1
Pages 4–22
URL Link
DOI 10.1080/10749039.2014.981642
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Drawing upon the concept of practice, the article explores diagnostic decision making in oncology through the analysis of informal conversations between doctors in an Italian hospital. The analysis shows that doctors rely on three collaborative practices: (a) joint interpretation, (b) intersubjective generation and validation of hypotheses, and (c) postponing the diagnostic decision. Through such practices, doctors jointly handle tough issues such as managing complexity, dealing with cognitive difficulties and limits of knowledge, and avoiding diagnostic errors. The article addresses some lacunae in the literature by providing empirical access to how decision making is done in an understudied and specialized branch of medicine.

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