{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T13:00:33Z","timestamp":1790427633059,"version":"4.1.0"},"reference-count":58,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T00:00:00Z","timestamp":1789257600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Rationale<\/jats:title>\n                    <jats:p>Determining which patient problem requires attention first is a continuous cognitive task with direct consequences for patient safety. Despite its centrality, clinical prioritization remains conceptually underdeveloped. Organizational models frame it as protocol\u2010driven; experiential models assume it improves with clinical exposure. Neither addresses the specific cognitive challenge that prioritization poses when patients present with multiple interacting conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives<\/jats:title>\n                    <jats:p>To reconceptualize clinical prioritization as a distinct cognitive task requiring relational integration under uncertainty, and to derive drawing reasoning, a structured visual method designed to support this process, from a three\u2010study sequential programme of research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Conceptual development through sequential derivation. Three linked studies provided inputs: a theoretical integration combining complexity science, psychoneuroendocrinoimmunology, dual\u2010process theory, and the Theory of Event Coding; a qualitative study documenting how clinicians define priority (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009104); and an experimental study identifying cognitive biases and accuracy collapse when clinical data conflicted with expectations (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009130). Cross\u2010study findings were synthesized to produce definitions, an operationalized method, and testable propositions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The programme produced two conceptual outputs and one methodological output. Systemic priority is defined as the variable exerting the strongest relational influence within the patient's clinical configuration. Iterative reasoning is specified as a safety\u2010critical cognitive operation whose interruption is empirically linked to systematic errors in prioritization. Drawing reasoning translates these outputs into a three\u2010phase method, variable elicitation, relational mapping, and priority identification with conflict check, that directly targets the cognitive vulnerabilities documented experimentally.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clinical prioritization under complexity is a distinct cognitive task that is not reducible to urgency ranking or accumulated experience. Drawing reasoning provides a teachable and testable method warranting empirical evaluation, particularly in chronic, multimorbid, and educational contexts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70602","type":"journal-article","created":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T17:46:45Z","timestamp":1789321605000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reconceptualizing Clinical Priority as Relational Influence: Derivation of Drawing Reasoning From a Sequential Programme of Research"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0403-3128","authenticated-orcid":false,"given":"Alessandra","family":"Milani","sequence":"first","affiliation":[{"name":"IEO Academy European Institute of Oncology IRCCS Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliana","family":"Misurelli","sequence":"additional","affiliation":[{"name":"IEO Academy European Institute of Oncology IRCCS Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ketti","family":"Mazzocco","sequence":"additional","affiliation":[{"name":"Department of Oncology and Haemato\u2010Oncology University of Milan Milan Italy"},{"name":"Division of Applied Research for Cognitive and Psychological Sciences European Institute of Oncology IRCCS Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"crossref","unstructured":"J. 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