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. 2021 Apr 23.
doi: 10.1515/dx-2020-0126. Online ahead of print.

The 6C model for accurately capturing the patient's medical history

Taro Shimizu  1
Affiliations

The 6C model for accurately capturing the patient's medical history

Taro Shimizu. Diagnosis (Berl). .

Abstract

Diagnostic errors are an internationally recognized patient safety concern, and leading causes are faulty data gathering and faulty information processing. Obtaining a full and accurate history from the patient is the foundation for timely and accurate diagnosis. A key concept underlying ideal history acquisition is "history clarification," meaning that the history is clarified to be depicted as clearly as a video, with the chronology being accurately reproduced. A novel approach is presented to improve history-taking, involving six dimensions: Courtesy, Control, Compassion, Curiosity, Clear mind, and Concentration, the '6 C's'. We report a case that illustrates how the 6C approach can improve diagnosis, especially in relation to artificial intelligence tools that assist with differential diagnosis.

Keywords: 6C model; diagnostic strategy; history clarification.

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