Premature diagnostic closure: an avoidable type of error

被引：10

作者：

Vazquez-Costa, M. ^{[1
,2
]}

Costa-Alcaraz, A. M. ^{[1
,3
]}

机构：

[1] Univ Valencia GIBUV, Grp Invest Bioet, Valencia, Spain

[2] Mataro Ctr Claves, Ctr Invest & Diagnost Inteligencia Emoc CIDIE, Valencia, Spain

[3] Univ Valencia, Dept Med, Grp Comunicac & Salud Valencia, Ctr Salud Nazaret, Valencia, Spain

来源：

REVISTA CLINICA ESPANOLA | 2013年 / 213卷 / 03期

关键词：

Diagnostic errors; Patient-doctor relationship; Cognitive aspects; Patient safeties; CLINICAL DECISION-MAKING; COGNITIVE-PSYCHOLOGY; STRATEGIES; JUDGMENT; HISTORY; MANAGEMENT; MEDICINE; PATIENT;

D O I：

10.1016/j.rce.2012.05.012

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A well-developed clinical interview makes it possible to adequately focus the diagnosis. However, cognitive psychology shows that mistakes are made when the persons face complex problems, such as those faced when making a diagnosis, especially if time or resources are limited. The main cause of failures in clinical reasoning is using "cognitive shortcuts". Among them, premature closure is a key factor triggering a diagnostic error. Cognitive errors are predictable and thus, it is possible to learn strategies to reduce or avoid them. Knowing the main features of cognitive shortcuts and identifying those automatically used is the first step towards preventing errors or minimizing their consequences. (C) 2012 Elsevier Espana, S.L. All rights reserved.

引用

页码：158 / 162

页数：5

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