Cognitive Autopsy in Emergency Medicine

Karen Cosby kcosby40 at GMAIL.COM
Tue Oct 21 18:27:52 UTC 2014


I understand this is called the 'chagrin bias', a reluctance to consider a
dx with a bad prognosis if we have an affinity toward the patient.

On Tue, Oct 21, 2014 at 1:06 PM, Ruth Ryan <rryan at lammico.com> wrote:

>  The current issue of the Sullivan Group or TSG Newsletter aimed at
> emergency medicine carries an article about a case of missed diagnosis of
> Long QT Syndrome and does a cognitive autopsy. Click here
> https://www.thesullivangroup.com/risk_resources/newsletters/TSGFall2014Newsletter.pdf
>
>
>
> Question about cognitive autopsies: why don’t we see “Denial” listed among
> the cognitive biases and errors in diagnosis? We see denial and sometimes
> paralysis in serious events (I can’t believe this charming patient could
> have a grave diagnosis; I’m not really seeing postpartum hemorrhage; my
> patient’s not having a post op complication from a bile duct I nicked; I
> can’t possibly be seeing the first case of Ebola diagnosed in the US, etc.)
>
>
>
> Ruth
>
> Ruth Ryan RN, BSN, MSW, CPHRM
>
> Senior Risk Management Education Specialist
>
> LAMMICO
>
> 1 Galleria Blvd., Suite 700
>
> Metairie, LA 70001
>
> E-Mail rryan at lammico.com
>
> Telephone (504) 841-2736
>
> Fax (504) 841-5312
>
>
>
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