Cognitive Biases, Heuristics and error in Radiology
Jain, Bimal P.,M.D.
BJAIN at PARTNERS.ORG
Tue Apr 24 15:07:42 UTC 2018
Interested attached article.
I believe a heuristic or a mental shortcut is extremely valuable in diagnosis as long as we recognize it is a method of discovery, not as a method of evidence. It merely makes us suspect a disease, not confirm a disease. In the example of enlarged pancreatic head seen by a radiologist, the correct approach would be, in my view, to suspect pancreatic carcinoma based on the heuristic of resemblance, not diagnose it definitively which can be only be done after a biopsy. Perhaps a differential diagnosis listing pancreatic carcinoma, autoimmune pancreatitis and any other pancreatic diseases would be the right way to report this finding.
I attach 3 papers regarding heuristics that I posted on Listserv in the last few months that have a bearing on the issue being discussed.
Bimal P Jain MD
Northshore Medical Center
Lynn MA 01904.
From: Bruno, Michael [mailto:mbruno at PENNSTATEHEALTH.PSU.EDU]
Sent: Friday, April 20, 2018 5:48 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [IMPROVEDX] Cognitive Biases, Heuristics and error in Radiology
External Email - Use Caution
Hi Everybody -
I thought there might be interest in this brief article in the Rad Business Journal, which cites the attached peer-reviewed article-in-press, which is actually from next month's AJR:
All the best,
[Description: Description: Description: \\hersheymed.net\files\Staff\M\mbruno\Signature2.gif.gif]
Michael A. Bruno, M.S., M.D., F.A.C.R.
Professor of Radiology & Medicine
Vice Chair for Quality and Patient Safety
Chief, Division of Emergency Radiology
The Milton S. Hershey Medical Center
Penn State College of Medicine
500 University Drive, Mail Code H-066
Hershey, PA 17033
Phone: (717) 531-8703
Fax: (717) 531-5737
e-mail: mbruno at hmc.psu.edu<mailto:mbruno at hmc.psu.edu>
[cid:image002.png at 01CF4E6D.0D6442B0]
*****E-Mail Confidentiality Notice*****
This message (including any attachments) contains information intended for a specific individual(s) and purpose that may be privileged, confidential or otherwise protected from disclosure pursuant to applicable law. Any inappropriate use, distribution or copying of the message is strictly prohibited and may subject you to criminal or civil penalty. If you have received this transmission in error, please reply to the sender indicating this error and delete the transmission from your system immediately.
Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
To unsubscribe from IMPROVEDX: click the following link:
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:David Meyers, Board Member, Society for Improving Diagnosis in Medicine
To learn more about SIDM visit:
The information in this e-mail is intended only for the person to whom it is
addressed. If you believe this e-mail was sent to you in error and the e-mail
contains patient information, please contact the Partners Compliance HelpLine at
http://www.partners.org/complianceline . If the e-mail was sent to you in error
but does not contain patient information, please contact the sender and properly
dispose of the e-mail.
Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine
Size: 2137 bytes
Size: 13674 bytes
Name: The status of heuristics and cognitive biases as a source of diagnostic errors..pdf
Size: 112131 bytes
Desc: The status of heuristics and cognitive biases as a source of diagnostic errors..pdf
Name: The important role of heuristics in diagnosis.pdf
Size: 112809 bytes
Desc: The important role of heuristics in diagnosis.pdf
Name: The relevance of double process theory ( DPT ) to diagnosis.pdf
Size: 108623 bytes
Desc: The relevance of double process theory ( DPT ) to diagnosis.pdf
More information about the Test