title: Improving diagnostic accuracy using an evidence-based nursing model.
abstract: OBJECTIVE
  To propose an evidence-based model (EBM) to improve diagnostic accuracy in nursing.
  
  
  METHODS
  Published literature, experience, and expertise of authors.
  
  
  RESULTS
  Using an EBM directs clinicians on how to use the best available evidence from the literature to determine the best fit between cues and diagnoses, integrate this evidence with clinician expertise and patient preferences, and conduct a self-evaluation of the process.
  
  
  CONCLUSIONS
  Use of an EBM to teach nurses how to ask relevant diagnostic questions and provide a framework for nurse educators to teach evidenced-based practice may lead to developing more competent diagnosticians and improving diagnostic accuracy in nursing.
authors.affiliation: Lienhard School of Nursing, Pace University, Pleasantville, NY, USA. rflevin@ix.netcom.com
authors.forename: Rona F
authors.initials: RF
authors.lastname: Levin
authors.forename: Margaret
authors.initials: M
authors.lastname: Lunney
authors.forename: Barbara
authors.initials: B
authors.lastname: Krainovich-Miller
mesh_terms: D002983:Clinical Competence / Q000592:standards; D003657:Decision Making; D003937:Diagnosis, Differential; D019317:Evidence-Based Medicine; D006301:Health Services Needs and Demand; D006801:Humans; D007600:Judgment; D008128:Logic; D008487:Medical History Taking / Q000592:standards; D016294:Models, Nursing; D009730:Nursing Assessment / Q000592:standards; D009733:Nursing Diagnosis / Q000592:standards*; D009736:Nursing Process / Q000592:standards*; D017749:Total Quality Management / Q000458:organization & administration