Cognitive Errors And Diagnostic Mistakes

Author : Jonathan Howard
Publisher : Springer
ISBN 13 : 3319932241
Total Pages : 588 pages
Book Rating : 4.48/5 ( download)

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Download or read book Cognitive Errors and Diagnostic Mistakes written by Jonathan Howard and published by Springer. This book was released on 2018-11-28 with total page 588 pages. Available in PDF, EPUB and Kindle. Book excerpt: This case-based book illustrates and explores common cognitive biases and their consequences in the practice of medicine. The book begins with an introduction that explains the concept of cognitive errors and their importance in clinical medicine and current controversies within healthcare. The core of the book features chapters dedicated to particular cognitive biases; cases are presented and followed by a discussion of the clinician's rationale and an overview of the particular cognitive bias. Engaging and easy to read, this text provides strategies on minimizing cognitive errors in various medical and professional settings.

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309377722
Total Pages : 473 pages
Book Rating : 4.20/5 ( download)

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Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Author : Kerm Henriksen
Publisher :
ISBN 13 :
Total Pages : 526 pages
Book Rating : 4.02/5 ( download)

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Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Author : Pat Croskerry
Publisher : Oxford University Press
ISBN 13 : 0190088753
Total Pages : 224 pages
Book Rating : 4.50/5 ( download)

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Download or read book The Cognitive Autopsy written by Pat Croskerry and published by Oxford University Press. This book was released on 2020-05-22 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Behind heart disease and cancer, medical error is now listed as one of the leading causes of death. Of the many medical errors that may lead to injury and death, diagnostic failure is regarded as the most significant. Generally, the majority of diagnostic failures are attributed to the clinicians directly involved with the patient, and to a lesser extent, the system in which they work. In turn, the majority of errors made by clinicians are due to decision making failures manifested by various departures from rationality. Of all the medical environments in which patients are seen and diagnosed, the emergency department is the most challenging. It has been described as a "wicked" environment where illness and disease may range from minor ailments and complaints to severe, life-threatening disorders. The Cognitive Autopsy is a novel strategy towards understanding medical error and diagnostic failure in 42 clinical cases with which the author was directly involved or became aware of at the time. Essentially, it describes a cognitive approach towards root cause analysis of medical adverse events or near misses. Whereas root cause analysis typically focuses on the observable and measurable aspects of adverse events, the cognitive autopsy attempts to identify covert cognitive processes that may have contributed to outcomes. In this clinical setting, no cognitive process is directly observable but must be inferred from the behavior of the individual clinician. The book illustrates unequivocally that chief among these cognitive processes are cognitive biases and other flaws in decision making, rather than knowledge deficits.

Author : Pat Croskerry
Publisher :
ISBN 13 : 9781409432340
Total Pages : 180 pages
Book Rating : 4.43/5 ( download)

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Download or read book Diagnostic Error written by Pat Croskerry and published by . This book was released on 2012-04-28 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite diagnosis being the key feature of a physician's clinical performance, this is the first book that deals specifically with the topic. In recent years, however, considerable interest has been shown in this area and significant developments have occurred in two main areas: a) an awareness and increasing understanding of the critical role of clinical decision making in the process of diagnosis, and of the multiple factors that impact it, and b) a similar appreciation of the role of the healthcare system in supporting clinicians in their efforts to make accurate diagnoses. Although medicine has seen major gains in knowledge and technology over the last few decades, there is a consensus that the diagnostic failure rate remains in the order of 10-15%. This book provides an overview of the major issues in this area, in particular focusing on where the diagnostic process fails, and where improvements might be made.

Author : Cym Anthony Ryle
Publisher : Oxford University Press
ISBN 13 : 0190944021
Total Pages : 209 pages
Book Rating : 4.25/5 ( download)

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Download or read book Risk and Reason in Clinical Diagnosis written by Cym Anthony Ryle and published by Oxford University Press. This book was released on 2019-06-13 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accurate diagnosis is the foundation of medical practice, but at the start of the diagnostic process, uncertainty is inevitable. The clinician's skills and cognitive attributes determine the quality of the initial differential diagnosis and thus the crucial first phases of investigation and treatment; mistakes are often self-propagating. Diagnostic error is a major cause of avoidable morbidity and mortality, and is the commonest reason for successful litigation. Risk and Reasoning in Clinical Diagnosis is an accessible and readable look at the diagnostic process. Dr. Cym Ryle presents the insights and concepts developed in cognitive psychology which have led to the consensus that in all domains human reasoning is primarily driven by unconscious, intuitive mechanisms; the contribution of structured, analytical thinking is variable and inconsistent. He notes that the risk of error is inseparable from these mechanisms. Dr. Ryle then develops a description of the diagnostic process which encompasses its form, strengths and fallibility, and illustrates this description with examples from his work as a general practitioner. He argues that improving diagnostic accuracy should be a priority, and that there is sufficient evidence to guide changes in medical training, in clinical practice, and in the culture and organisation of our institutions. He identifies specific, practical steps that can be taken by individual clinicians and by clinical teams, suggests priorities for action in our institutions, and considers the obstacles to progress.

Author : Robert L. Trowbridge
Publisher : American College
ISBN 13 : 9781938921056
Total Pages : 270 pages
Book Rating : 4.54/5 ( download)

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Download or read book Teaching Clinical Reasoning written by Robert L. Trowbridge and published by American College. This book was released on 2015 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chapter topics include: Clinical Reasoning and Diagnostic Error Theoretical Concepts to Consider in Providing Clinical Reasoning Instruction Developing a Curriculum in Clinical Reasoning Educational Approaches to Common Cognitive Errors General Teaching Techniques Assessment of Clinical Reasoning Faculty Development and Dissemination Lifelong Learning in Clinical Reasoning Remediation of Clinical Reasoning Novel Approaches and Future Directions Teaching Clinical Reasoning: Where do we go from here?

Author : Pat Croskerry
Publisher : CRC Press
ISBN 13 : 135165019X
Total Pages : 370 pages
Book Rating : 4.99/5 ( download)

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Download or read book Diagnosis written by Pat Croskerry and published by CRC Press. This book was released on 2017-09-19 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite diagnosis being the key feature of a physician's clinical performance, this is the first book that deals specifically with the topic. In recent years, however, considerable interest has been shown in this area and significant developments have occurred in two main areas: a) an awareness and increasing understanding of the critical role of clinical decision making in the process of diagnosis, and of the multiple factors that impact it, and b) a similar appreciation of the role of the healthcare system in supporting clinicians in their efforts to make accurate diagnoses. Although medicine has seen major gains in knowledge and technology over the last few decades, there is a consensus that the diagnostic failure rate remains in the order of 10-15%. This book provides an overview of the major issues in this area, in particular focusing on where the diagnostic process fails, and where improvements might be made.

Author : Jerome Groopman
Publisher : HarperCollins
ISBN 13 : 0547348630
Total Pages : 325 pages
Book Rating : 4.36/5 ( download)

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Download or read book How Doctors Think written by Jerome Groopman and published by HarperCollins. This book was released on 2008-03-12 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong—with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can—with our help—avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track. Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.

Author : Richard A. Chechile
Publisher : MIT Press
ISBN 13 : 0262038420
Total Pages : 633 pages
Book Rating : 4.23/5 ( download)

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Download or read book Analyzing Memory written by Richard A. Chechile and published by MIT Press. This book was released on 2018-10-30 with total page 633 pages. Available in PDF, EPUB and Kindle. Book excerpt: An accessible synthesis of memory research that discusses the creation of memory representations, the processes of storage and retrieval, and the effectiveness of encoding information. The field of memory research is subdivided into many separate and non-overlapping topic areas that often employ specialized tools and models. This book offers an accessible synthesis of memory research that explores how memory works, how it is organized, and how it changes dynamically. Written by an expert in the field, it can be used by undergraduate and graduate students of psychology and as a reference by researchers who want to fill in gaps in their knowledge. The book focuses on three general topics that cover a vast amount of research in the field: how a memory representation is created, how the cognitive processes of storage and retrieval can be studied and measured, and the process of encoding information and its varying degrees of effectiveness. Specific subjects addressed include habituation and sensitization, and the neurobiological changes that underlie them; evidence for a cognitive component underlying Pavlovian conditioning; biological constraints on a cognitive model of memory; an information-processing framework for memory; misconceptions about memory, including the static memory myth and the permanent memory myth; model-based measurement of storage and retrieval processes; a critique of the concept of memory strength; the distinction between implicit and explicit memory; and learning and repetition. Although the writing is accessible to the nonspecialist, the density of information is high. The text avoids jargon, and a glossary defines key terms. The notes expand on technical details and point to interesting related ideas.