Abstract
Consider that diagnoses are attached to patients using a type of “glue”. How much and how sticky depends on many variables. When the Professor of Cardiology auscultates the heart of a patient with chest pain and syncope and pronounces there to be “severe aortic stenosis”, the diagnosis is applied with thick lashings of glue that only a normal aortic valve on ECHO could unstick. When a concerned parent of a child with abdominal pain is reassured by the senior surgeon that “this is certainly not appendicitis”, the glue of that diagnosis is scraped off and it loses momentum.
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References
O’Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018;48:225–32.
Croskerry P. Achieving quality in clinical decision making: cognitive strategies and detection of bias. Acad Emerg Med. 2002;9(11):1184–204.
Croskerry P, Cosby K, Schenkel S, Wears R. Patient Safety in Emergency Medicine, Lippincott Williams & Wilkins, Philadelphia, 2009.
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Ryan, W. (2021). Diagnostic Momentum Error. In: Raz, M., Pouryahya, P. (eds) Decision Making in Emergency Medicine. Springer, Singapore. https://doi.org/10.1007/978-981-16-0143-9_19
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DOI: https://doi.org/10.1007/978-981-16-0143-9_19
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