Background: Health professionals are required to make complex decisions in dynamic contexts involving many variables and factors. Decisions are more difficult in the presence of uncertainty, urgency and high risk. Objective: To evaluate the effect of ambient stressors and time constraints on decision making by expert dermatologists faced with borderline pigmented skin lesions (PSL) (early melanoma vs. atypical nevi). Methods: We performed a retrospective chart review of PSL from the image databases of our department. A total of 321 PSL (219 nevi and 102 melanomas) were randomly assigned to three groups: control group, ambient stress group and time stress group. The diagnostic accuracy of each group was evaluated as sensitivity and specificity. Results: Mean sensitivity and specificity of diagnosis were 69.2 and 90.5% in the control group, 62 and 81.2% in the ambient stress group and 59.6 and 82.5% in the time stress group, respectively. Conclusion: Time constraints and stressors negatively influenced the performance of dermatologists in the diagnosis of atypical PSL. © 2015 S. Karger AG.
Feci, L., Cevenini, G., Nami, N., Fagiolini, A., Perotti, R., Miracco, C., et al. (2015). Influence of Ambient Stressors and Time Constraints on Diagnostic Accuracy of Borderline Pigmented Skin Lesions. DERMATOLOGY, 231(3), 269-273 [10.1159/000435951].
Influence of Ambient Stressors and Time Constraints on Diagnostic Accuracy of Borderline Pigmented Skin Lesions
Feci, Luca;Cevenini, Gabriele;Nami, Niccolò;Fagiolini, Andrea;Perotti, Roberto;Miracco, Clelia;Fimiani, Michele;Rubegni, Pietro
2015-01-01
Abstract
Background: Health professionals are required to make complex decisions in dynamic contexts involving many variables and factors. Decisions are more difficult in the presence of uncertainty, urgency and high risk. Objective: To evaluate the effect of ambient stressors and time constraints on decision making by expert dermatologists faced with borderline pigmented skin lesions (PSL) (early melanoma vs. atypical nevi). Methods: We performed a retrospective chart review of PSL from the image databases of our department. A total of 321 PSL (219 nevi and 102 melanomas) were randomly assigned to three groups: control group, ambient stress group and time stress group. The diagnostic accuracy of each group was evaluated as sensitivity and specificity. Results: Mean sensitivity and specificity of diagnosis were 69.2 and 90.5% in the control group, 62 and 81.2% in the ambient stress group and 59.6 and 82.5% in the time stress group, respectively. Conclusion: Time constraints and stressors negatively influenced the performance of dermatologists in the diagnosis of atypical PSL. © 2015 S. Karger AG.File | Dimensione | Formato | |
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https://hdl.handle.net/11365/980787