Quick hello and a reminder or two / "Ten" lists ....

David Meyers dm0015 at ICLOUD.COM
Wed May 1 14:15:16 UTC 2013


Most likely these will suffer the same fate as their biblical counterparts. THIS IS NOT A STRATEGY FOR SUCCESS!

Sent from my iPhone

David L Meyers
410-952-8782

On May 1, 2013, at 9:08 AM, Nonie Leonidas <nonieleonidas68 at GMAIL.COM> wrote:

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> Below is one Strategy that we can use to reduce diagnostic errors as suggested by Mark L. Graber, "Educational Strategies to Reduce Diagnostic Error: can you teach this stuff?" Adv in Health Sci Educ (2009) 14:63-69 is to keep in mind the:
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> Ten Commandments to Reduce Cognitive Errors
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> 1.      Thou shalt reflect on how you think and decide.
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> 2.      Thou shalt not rely on your memory when making critical decisions.
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> 3.      Thou shalt make your working environment information-friendly by using the latest wireless technology such as the iPad, Kindle, Samsung Notes, Nexus.
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> 4.      Thou shalt consider other possibilities even though you are sure of your first diagnosis.
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> 5.      Thou shalt know Bayesian probability and the epidemiology of the diseases in your differential diagnosis.
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> 6.      Thou shalt mentally rehearse common and serious conditions that you expect to see in your specialty.
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> 7.      Thou shalt ask yourself if you are the right person to make the final decision or a specialist after considering the patient’s values and wishes.
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> 8.      Thou shalt take time to decide and not be pressured by anyone.
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> 9.      Thou shalt create accountability procedures and follow up for decisions made.
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> 10.   Thou shalt record in a relational data base software your patient’s problems and decisions for review and improvement.
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> 
> Leonardo L. Leonidas, MD
> Assistant Clinical Professor in Pediatrics (retired 2008)
> Distinguished Career Teaching Award, 2009
> Tufts University School of Medicine, Boston, USA
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