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Diagnostic and Cognitive Error


Picture from a lecture by Dr. Mark Graber et al that can be found here.

Dr. Marsh asked us to discuss cognitive errors and think about how we can better train ourselves to prevent them.


Click the link below to download a pdf of the current issue of Insight, the quarterly publication of the Alliance for Academic Internal Medicine.  The last article in the issue is about cognitive error, and how we can best train ourselves to reduce it http://connect.im.org/d/do/5404.

I found a few nice links on this subject from the website for the Society to Improve Diagnosis in Medicine:

Here is a related video presentation on Diagnostic Error and checklists from QuantiaMD -Quantia MD is a fantastic resource for internists, and is completely free.  If you need someone to "sponsor" you for membership, feel free to let me know.


From Mindless to Mindful Practice — Cognitive Bias and Clinical Decision Making - a paper from NEJM

A handy pocket card with a list of common biases to avoid for the phsyician as well as common problems that arise in DNR discussions.

One way to avoid diagnostic errors is the use of checklists.  Here is a video demonstrating how one physician uses checklists to improve his diagnostic accuracy:






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