Next I& #39;ll be tweeting the session on "Diagnostic Errors: Seeing the Blindspot of Healthcare Delivery!" First up is Dr. Molly Hayes with "What are Diagnostic Errors?"! #CHEST2020
Let& #39;s start with Mr. G& #39;s Case... #CHEST2020
Let& #39;s start with Mr. G& #39;s Case... #CHEST2020
Let& #39;s start with Mr. G& #39;s Case... #CHEST2020
What are diagnostic errors? "Improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative." #CHEST2020
Diagnostic errors can be from a delayed diagnosis, missed diagnosis, or wrong diagnosis! #CHEST2020
Diagnostic errors are a public health problem! #CHEST2020
Diagnostic errors are a public health problem! #CHEST2020
Diagnostic errors are a public health problem! #CHEST2020
Heuristics and cognitive biases #CHEST2020
This is a great book she recommends. #CHEST2020
There are a ton of different cognitive biases, but these are a few of the most common. #CHEST2020
The availability bias is something we& #39;re seeing more of with COVID now. #CHEST2020
Anchoring happens with an insufficient initial anchor leads to biased estimates. #CHEST2020
Framing can be helpful but can also lead to diagnostic errors! #CHEST2020
Now let& #39;s go back to our case. There were details on the case that you weren& #39;t told on round because they didn& #39;t fit the picture. There was an anchoring bias and framing that led to the wrong diagnosis! #CHEST2020
Now let& #39;s go back to our case. There were details on the case that you weren& #39;t told on round because they didn& #39;t fit the picture. There was an anchoring bias and framing that led to the wrong diagnosis! #CHEST2020
Now let& #39;s go back to our case. There were details on the case that you weren& #39;t told on round because they didn& #39;t fit the picture. There was an anchoring bias and framing that led to the wrong diagnosis! #CHEST2020
Next up we have "Why do Diagnostic Errors Occur" with Dr. Jayshil Patel! #CHEST2020
The 1999 IOM report told us that there were a ton of deaths from medical errors. #CHEST2020
Diagnostic error can come from no fault errors, cognitive errors, or system errors. #CHEST2020
When you look at the theory of decision making there is a normative component of how decisions SHOULD be made, and a descriptive component of how decisions actually are made. #CHEST2020
When you look at the theory of decision making there is a normative component of how decisions SHOULD be made, and a descriptive component of how decisions actually are made. #CHEST2020
When you look at the theory of decision making there is a normative component of how decisions SHOULD be made, and a descriptive component of how decisions actually are made. #CHEST2020
When you look at the theory of decision making there is a normative component of how decisions SHOULD be made, and a descriptive component of how decisions actually are made. #CHEST2020
If you don& #39;t stop and let system 2 check system 1 you can end up in trouble. #CHEST2020
Heuristics are system 1 and they are helpful! But we need to stop and check them! #CHEST2020
The complexity of a system will determine whether a task will induce intuition or analysis. #CHEST2020
In a busy ICU we can have diagnostic errors due to multiple cognitive biases and system factors. #CHEST2020
In a busy ICU we can have diagnostic errors due to multiple cognitive biases and system factors. #CHEST2020
In a busy ICU we can have diagnostic errors due to multiple cognitive biases and system factors. #CHEST2020
Here& #39;s a summary of his talk. Our system 1 decision making leads to cognitive errors but system 2 is the path to expertise. #CHEST2020
Next up is Dr. Paul Bergl ( @PaulBerglMD) with "Practical Strategies to Minimize Diagnostic Errors in Your ICU and Training Program." #CHEST2020
Situated cognition states that there are three main domains that affect diagnostic errors: patient, physician, and practice factors. Two of these (physician and practice) are under our influence. #CHEST2020
Key recommendations for error reduction #CHEST2020
How can we keep patients at the center? Families should be involved! #CHEST2020
We need to democratize rounds. Two heads are better than one, and second review reduced errors! #CHEST2020
How can we reduce distractions and cognitive load? Use checklists, reduce non-diagnostic decisions, start with the sickest patients that require the most thought. #CHEST2020
Optimize health IT to help with decision support. #CHEST2020
One thing we can do to help with decision making is to embrace uncertainty and realize that it& #39;s always going to be there. #CHEST2020
These are strategies for reducing uncertainty. #CHEST2020
The testing threshold (whether to test or treat empirically) depends on the diagnosis probability. #CHEST2020
Whether to test first or empirically treat will vary case to case based on the risks. #CHEST2020
Tips for improving cognition. Expertise develops through feedback! #CHEST2020
Tips for improving education on decision making. #CHEST2020
Parting thoughts! #CHEST2020
Thanks to Dr. Patel, @MHayes_MD and @PaulBerglMD for this great talk! #CHEST2020
You can follow @gretchemaben.
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