The committee's depiction of the diagnostic process draws on an adaptation of a decision-making model that describes the cyclical process of information gathering, information integration and interpretation, and forming a working diagnosis ( Parasuraman et al., 2000; Sarter, 2014 ). The committee's conceptualization of the diagnostic process.
The diagnostic and decision-making process usually takes place in busy clinics, wards, operating theatres, and emergency rooms. Therefore, most diagnoses have to take place by some rapid conscious or subconscious pattern recognition, and there is usually little time for reflection.
A diagnosis is a hypothesis about the nature of a patient's illness, one that is derived from observations by the use of inference. As the inferential process unfolds, our confidence as [clinicians] in a given diagnosis is enhanced by the gathering of data that either favor it or argue against competing hypotheses.
The diagnostic process, often called clinical reasoning, is complex, and errors in reasoning are thought to account for 17% of all adverse events. Diagnostic errors can occur due to faulty knowledge, faulty data gathering, and faulty information processing.