Cognitive error -Ten "More " Commandments

Giuliano, Michael M.D. MGiuliano at HACKENSACKUMC.ORG
Mon Dec 1 20:33:24 UTC 2014


Never enough Ten Commandments…couldn’t resist.
Michael Giuliano MD, Med, MHPE
Director of Neonatology
Hackensack University Medical Center,
Hackensack, NJ


From: Nonie Leonidas [mailto:nonieleonidas68 at GMAIL.COM]
Sent: Monday, December 01, 2014 2:56 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] Cognitive error - It applies to treatment too

My other 10 Commandments:


Ten Commandments to Reduce Cognitive Errors



  1.  Thou shalt reflect on how you think and decide.
  2.  Thou shalt not rely on your memory when making critical decisions.
  3.  Thou shalt make your working environment information-friendly by using the latest wireless technology such as the iPad, Kindle, Samsung Notes, Nexus.
  4.  Thou shalt consider other possibilities even though you are sure of your first diagnosis.
  5.  Thou shalt know Bayesian probability and the epidemiology of the diseases in your differential diagnosis.
  6.  Thou shalt mentally rehearse common and serious conditions that you expect to see in your specialty.
  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.
  8.  Thou shalt take time to decide and not be pressured by anyone.
  9.  Thou shalt create accountability procedures and follow up for decisions made.
  10. Thou shalt record in a relational data base software your patient’s problems and decisions for review and improvement.



Copyright Leo Leonidas 2003



Leonardo L. Leonidas, MD

Assistant Clinical Professor in Pediatrics (retired 2008)

Distinguished Career Teaching Award, 2009

Tufts University School of Medicine, Boston, USA



Now in the Philippines giving talks and blogging on Reducing Medical Errors.

On Sun, Nov 30, 2014 at 2:16 PM, Mark Graber <mark.graber at improvediagnosis.org<mailto:mark.graber at improvediagnosis.org>> wrote:

A Boston Globe article<http://news.doximity.com/entries/1546262?_ref=email&token=a12173abf8ec878b10f796d52ba32aa03cb32fd7&user_id=333038> recently called attention to an error made during a surgical procedure, and its cognitive underpinnings.  We’ve spent a lot of time considering how cognition contributes to diagnostic errors, but this article show how these same tendencies can play out in treatment and management;  Nice to know we don’t hold the exclusive rights to make these mistakes !   Seems like even more of a reason to include something in the medical curriculum on cognitive psychology.

The article includes an interesting comment from Pat Croskerry.

________________________________

Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>

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<mailto:IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG>

Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX
Moderator: Lorri Zipperer Lorri at ZPM1.com<mailto:Lorri at ZPM1.com>, Communication co-chair, Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.org/


________________________________

Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>

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<mailto:IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG>

Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX

Moderator: Lorri Zipperer Lorri at ZPM1.com<mailto:Lorri at ZPM1.com>, Communication co-chair, Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.org/
************************************************************************************************************* Confidentiality Notice: This email message and any attachments from HackensackUMC are confidential and for the sole use of the intended recipient. This communication may contain Protected Health Information ("PHI"). PHI is confidential information that may only be used or disclosed in accordance with applicable law. There are penalties under the law for the improper use or further disclosure of PHI. If you are not the intended recipient of this email or the employee or agent responsible for delivering the communication to the intended recipient, then you may not read, copy, distribute or otherwise use or disclose the information contained in this message. If you received this message in error, please notify us by telephone at 551-996-2000 or by email to Postmaster at HackensackUMC.org Please indicate that you were not the intended recipient, and confirm that you have deleted the original message. Please do not retransmit the contents of the message. Thank you. ************************************************************************************************************* About Hackensack University Medical Center HackensackUMC, a nonprofit teaching and research hospital located in Bergen County, NJ, is the largest provider of inpatient and outpatient services in the state. Founded in 1888 as the county’s first hospital, it is the flagship hospital of Hackensack University Health Network, one of the largest health networks in the state comprised of 1,250 beds, nearly 10,000 employees and 2,700 credentialed physicians. HackensackUMC was listed as the number one hospital in New Jersey in the U.S. News & World Report’s Best Hospital rankings for 2014-15. HackensackUMC is among Healthgrades® America’s Best 100 Hospitals in five different areas, is one of Healthgrades America's 50 Best Hospitals™ for eight years in a row, and received the Healthgrades Distinguished Hospital Award for Clinical Excellence™ 12 years in a row. The medical center has also been named a Leapfrog Top Hospital, and received 23 Gold Seals of Approval™ by the Joint Commission – more than any other hospital in the country. It was the first hospital in New Jersey and second in the nation to become a Magnet® recognized hospital for nursing excellence; receiving its fifth consecutive designation in 2014. HackensackUMC is the Hometown Hospital of the New York Giants and the New York Red Bulls and was Official Medical Services Provider to The Barclays PGA Golf Tournament and the NY/NJ Super Bowl XLV111 Host Committee. It remains committed to its community through fundraising and community events. To learn more, visit: www.HackensackUMC.org.

To unsubscribe from the IMPROVEDX:
mail to:IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
or click the following link: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG

Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG

For additional information and subscription commands, visit:
http://www.lsoft.com/resources/faq.asp#4A

http://LIST.IMPROVEDIAGNOSIS.ORG/ (with your password)

Visit the searchable archives or adjust your subscription at:
http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX

Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society for Improving Diagnosis in Medicine

To unsubscribe from the IMPROVEDX list, click the following link:<br>
<a href="http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1" target="_blank">http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1</a>
</p>

HTML Version:
URL: <../attachments/20141201/11c18de6/attachment.html> ATTACHMENT:
Name: The Ten Commandments for minimizing ERROR.pptx Type: application/vnd.openxmlformats-officedocument.presentationml.presentation Size: 53459 bytes Desc: The Ten Commandments for minimizing ERROR.pptx URL: <../attachments/20141201/11c18de6/attachment.pptx>


More information about the Test mailing list