Annals of Internal Medicine Cartoon on Misdiagnosis

Peggy Zuckerman peggyzuckerman at GMAIL.COM
Thu Jul 11 19:31:54 UTC 2013


Jason,
It strikes me that the message should be less directed toward concern re
one individual diagnosis, but the reminder that there is always a need to
review the assumptions one makes at the outset of some diagnosis (or
decision, in the bigger world).  The reliance on that initial information
or initial impression can distort thinking and analysis to support that
initial bias.

Most people understand this in terms of a "first impression", and we all
have wondered why it was so hard to change that first impression.  We are
hired wired to make snap judgments as a primitive protective response, and
that can be a life-saving gift.  But having also the ability to review the
information, including a skeptical examination of that first impression and
what led to it--or failed to lead to it--can prevent snap decisions from
becoming disasters.

This type of graphic story--maybe less grim--would be helpful to teach
patients to question a diagnosis or treatment that doesn't make sense.
Maybe a good dose of fear is a way to get the attention of passive patients!

Peggy Z


On Thu, Jul 11, 2013 at 11:19 AM, Jason Maude <
Jason.Maude at isabelhealthcare.com> wrote:

> Bill
> Thanks for sharing. This is a powerful story but a very negative ending as
> it gives the impression that the poor clinician is destined to miss these
> cases over and over again. It would be more beneficial/positive if it ended
> with something he could do to avoid making this mistake again such as using
> a diagnosis check list, for example, which would put Aortic
> Aneurysm/Dissection high on its list of suggestions. The way this is
> portrayed is likely to scare anybody witless!
> Regards
> Jason
>
> Jason Maude
> Founder and CEO Isabel Healthcare
> Tel: +44 1428 644886
> Tel: +1 703 879 1890
> www.isabelhealthcare.com
>
> From: Bill Thatcher <BillThatcher at MINDSPRING.COM>
> Reply-To: Society to Improve Diagnosis in Medicine <
> IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, Bill Thatcher <
> BillThatcher at MINDSPRING.COM>
> Date: Tuesday, 9 July 2013 20:43
> To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG" <
> IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
> Subject: Annals of Internal Medicine Cartoon on Misdiagnosis
>
> Some on this list may be more familiar than others with the use of
> cartoons in medical training. I’ve just loaded a powerful story, told in
> cartoon form, concerning a misdiagnosis. The cartoon originally appeared in
> the March 5, 2013, Annals of Internal Medicine.****
>
> ** **
>
> It is being used on the SIDM website with permissions of both AIM and the
> author.****
>
> ** **
>
> The end notes also point the reader toward other material and information
> on the use of cartoons in this field.****
>
> ** **
>
> http://www.improvediagnosis.org/blogpost/950784/Latest-News****
>
> ** **
>
> Thanks,****
>
> ** **
>
> Bill****
>
> ------------------------------
>
>
> To unsubscribe from IMPROVEDX: click the following link:
>
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
>
> or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
>
>
>
> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society
> for Improving Diagnosis in Medicine
>
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/
>
>
> Save the date: Diagnostic Error in Medicine 2013. September 22-25, 2013 in
> Chicago, IL.
> http://www.dem2013.org
>
>
> ------------------------------
>
>
> To unsubscribe from IMPROVEDX: click the following link:
>
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1or send email to:
> IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
>
> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society
> for Improving Diagnosis in Medicine
>
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/
> Save the date: Diagnostic Error in Medicine 2013. September 22-25, 2013 in
> Chicago, IL.
> http://www.dem2013.org
>



-- 
Peggy Zuckerman
www.peggyRCC.wordpress.com








HTML Version:
URL: <../attachments/20130711/4d43d592/attachment.html>


More information about the Test mailing list