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. 2013 Jul 11;2(5-6):321–331. doi: 10.1007/s40037-013-0070-3

Table 1.

Actions map for a patient encounter and their cognitive schemes

Step Clinical action Scheme/cognitive aid
1 Gather information (history and physical)
2 Propose a diagnosis Pattern-recognition hypothetico-deductive strategies and smart heuristics, rule-out worst scenario, red flags, etc.
3 Differential diagnosis Differential diagnosis cognitive aids: anatomical, physiological, pathological
4 Order tests (rationally) Frugal heuristics probability assessment: test sensitivity, specificity and likelihood ratios
5 Confirm and comprehensively give a diagnostic label Guideline-friendly bedside diagnosis, aetiology, severity (BESD)
6 Therapeutic interventions Contextual, patient-centred therapeutic cognitive aid: site of care, symptomatic, supportive, specific and speciality referral (5S)
7 Prepare for discharge Assess response to treatment (subjective and objective), criteria for discharge, timing of follow-up (ACT)