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(2) Provision of a clinical environment that promotes reflection in action to detect the causes of process bias and knowledge gaps.
Reducing diagnostic errors in primary care should focus on early and systematic recognition of errors including near misses, and a continuing professional development environment that promotes reflection in action to highlight possible causes of process bias and of knowledge gaps.
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Alexanders' reflection-in-action was to try and change tack when he sensed the old idea would not work and a new idea seemed more promising.
Instead the steps of learning are described as knowing-in-action, surprise, reflection-in-action (reacting to surprise), experimentation, reflection-on-action and new knowing-in-action [ 28].
Schön also describes the meta-cognitive process of reflection-in-action, the capacity to reflect 'on the spot' in the midst of professional activity.
Schön's theory of reflection-in-action is applied to the study results.
Reflection in a situation (reflection-in-action) is linked to practitioners' immediate behaviour.
Reflection-in-action is here considered to allow psychotherapists to develop their capacity to identify ruptures of the therapeutic alliance, and to help the patient make sense with them.
Schön would perhaps disagree with the view of reflective practitioners following certain steps when performing reflection-in-action, as this seems to imply an instrumental approach that closely resembles the technical rationality which he criticizes.
The features of this design are: (1) to visualize the learners' search processes as described, based on a cognitive schema, (2) to support two types of reflective activities, such as "reflection-in-action" and "reflection-on-action", and (3) to facilitate reflective activities by comparing their own search processes to other learners' search processes.
Our ability to acknowledge our emotion in the midst of conflict increases our capacity for "reflection-in-action" - the ability to combine cognitive and emotional information in the moment [ 17].
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