Debiasing

Peggy Zuckerman peggyzuckerman at GMAIL.COM
Wed May 30 04:59:04 UTC 2018


Dear All, As a patient advocate, and all too aware of the difficulties that
patients have in assessing their own diagnosis, much less the reasons for
that diagnosis, I have long contended that patients need to learn to ask a
few simple questions.  Moreover, these questions need to be understood as
both socially acceptable and appropriate in any circumstances.  That simple
question, "How did you conmake that diagnosis?", followed by, "What else
could it be?", would open the dialog between the patient and physician.
Inherent is that exchange is the assumption that there could be a clearly
stated rationale for the diagnosis, while also acknowledging that there is
always uncertainty in a diagnosis.

Peggy Zuckerman
PS  Had I asked that magic question, "What else could it be?", would my 10
cm renal tumor have been found sooner?  And if I had asked  "How did you
make that diagnosis?", would I have been shown the pathology report with
'no frank ulcer'?

Peggy Zuckerman
www.peggyRCC.com

On Tue, May 29, 2018 at 6:03 PM, Mark Graber <
Mark.Graber at improvediagnosis.org> wrote:

>
>
> FYI …..Attached is a new systematic review of “debiasing” from both
> medical and non-medical literature.   Most studies found that various
> debiasing techniques were successful, for example by ‘considering the
> opposite’.
>
>
>
> Several individuals, myself included, have advocated that using an
> approach like “What else could this be?” would be useful in combatting
> diagnostic errors related to premature closure, inappropriate anchoring,
> framing effects, and other tendencies.  Although the article doesn’t
> mention this particular debiasing approach, the generally positive findings
> for debiasing in general seems to be a positive thing.
>
>
>
>    Mark
>
>
>
> Mark L Graber, MD FACP
>
> President, SIDM
>
> Senior Fellow, RTI International
>
> Professor Emeritus, Stony Brook University, NY
>
>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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