Debiasing

Ruth Ryan ruth at RYAN-GRAHAM.COM
Wed May 30 17:27:22 UTC 2018


  1.  Name two questions patients can ask to clarify their diagnosis and open the doctor’s mind to additional possibilities. (?)

From: Peggy Zuckerman <peggyzuckerman at GMAIL.COM>
Sent: Wednesday, May 30, 2018 12:59 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] Debiasing

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<http://www.peggyRCC.com>

On Tue, May 29, 2018 at 6:03 PM, Mark Graber <Mark.Graber at improvediagnosis.org<mailto: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
[cid:image002.jpg at 01D3F819.ED2B8700]

________________________________

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:David Meyers, Board Member, 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:David Meyers, Board Member, Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.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: David Meyers, Board Member, Society to Improve 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/20180530/e2de6102/attachment.html> ATTACHMENT:
Name: image002.jpg Type: image/jpeg Size: 4302 bytes Desc: image002.jpg URL: <../attachments/20180530/e2de6102/attachment.jpg>


More information about the Test mailing list