The status of heuristics and cognitive biases as a source of diagnostic errors.
jesus.rivasce at GMAIL.COM
Sun Nov 12 16:54:43 UTC 2017
I am enjoying this interesting debate and I just wanted to leave my ideas
summarized in three points:
1) It is true that clinicians do not use probabilistic reasoning when doing
dx in our daily practice. We try to identify clues from patient’s story,
clinical examination and tests to suspect diseases.
2) In this setting, there is evidence (I see it everyday too) the cognitive
biases (alone or in combination with system errors - Graber 2005) explain
the most of diagnostic errors in medicine, particularly the premature
closure of diagnosis.
3) Can this situation change via accumulating knowledge and experience?
Servicio de Medicina
Hospital de Emergencias Grau - Lima/Perú
2017-11-07 6:48 GMT-05:00 Jain, Bimal P.,M.D. <BJAIN at partners.org>:
> In this attached paper, I point out that heuristics and biases are a
> source of inferential errors only in a setting in which the normatively
> correct method of reasoning is probabilistic.
> I argue that the notion of heuristics and biases as a source of diagnostic
> errors may not be relevant in diagnosis which is not probabilistic in
> practice as I point out in this paper.
> I suggest the main sources of diagnostic errors are lack of knowledge
> and/or experience.
> Please review and comment on this paper.
> Bimal P Jain MD
> Northshore Medical Center
> Lynn MA 01904.
> The information in this e-mail is intended only for the person to whom it
> addressed. If you believe this e-mail was sent to you in error and the
> contains patient information, please contact the Partners Compliance
> HelpLine at
> http://www.partners.org/complianceline . If the e-mail was sent to you in
> but does not contain patient information, please contact the sender and
> dispose of the e-mail.
> To unsubscribe from IMPROVEDX: click the following link:
> SUBED1=IMPROVEDX&A=1 or send email to: IMPROVEDX-SIGNOFF-REQUEST@
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
> To learn more about SIDM visit:
Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine
More information about the Test