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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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sábado, 2 de abril de 2016

Avoiding Diagnostic Error in the ED

By Diane Birnbaumer in Medium - 31/03/2016
"While to err is human, the toll errors make when delivering medical care can be profound. Clearly, patient morbidity and mortality are at the acme of concern, but the trickle down encompasses medicolegal concerns and the personal toll on the health care worker when mistakes are made. This chapter details the scope of the problem, explains some of the more common errors and poses some potential solutions...
KEY POINTS AND RECOMMENDATIONS
  1. Medical errors account for nearly 100,000 deaths annually in the United States.
  2. Only 1.7% of medical errors occur in the emergency department.
  3. Most medical errors are not due to a lack of knowledge, but rather faulty decision making.
  4. Type 1 or “fast” thinking is intuitive, efficient, mentally easy and accounts for 95% of thinking.
  5. Type 2 or “slow” thinking is mentally taxing, exhaustive, and requires focus and resources.
  6. Great thinkers toggle back and forth between fast and slow thinking, and this toggling is crucial to minimizing medical error in the emergency department.
  7. There are well over a dozen types of cognitive errors, many of which apply in the practice of emergency medicine.
  8. Understanding that bias is harmful in medical practice is a vital step to minimizing cognitive errors.
  9. Practitioners must develop strategies to help minimize bias and cognitive errors, and there are several options to formalize these strategies into daily medical practice."