Nonrational Cognitive Processes in Medical Decision Making

Nonrational Cognitive Processes in Medical Decision Making

What are the processes that contribute to errors in medical decision making? Certainly, medical decision making is complex, and simple knowledge gaps could be to blame. But very often, experienced physicians make medical decision errors in the form of cognitive...
Dual Process Reasoning and Diagnostic Error in Medicine

Dual Process Reasoning and Diagnostic Error in Medicine

What is dual process reasoning? How does dual process reasoning lead to diagnostic error in medicine? These are important patient safety questions. A recent review* by Dr. Pat Croskerry and colleagues seeks to answer those questions, and some excerpts of his work are...

Cognitive Errors in Anesthesiology and Medicine

Cognitive errors in anesthesiology, as in other medical specialties, are rooted in the low-visibility, elusive cognitive landscape of hardwired thinking processes. Various forms of bias, heuristics, non-rational thought preferences, and other factors contribute to...

Will Algorithms Replace Doctors? Not So Elementary, Watson.

Are doctors necessary? Just how far might the automation of medicine go? These are questions posed by Jonathon Cohn in his article “The Robot Will See You Now” recently published in the Atlantic magazine and online. The article is about the computer Watson – yep, the...

Quality in Medical Decision Making: Cost, Error, and Bias

How do we define quality in medical decisions? Missed diagnoses make headlines commonly. Yet there is a pervasive conflict among insurers, patients, and physicians when it comes to health care quality, testing, and cost. Perhaps the root of this problem is that we do...

Visiting Professor at Yale

Not many places have as much tradition and history as Yale University. It was a true honor to be invited to visit their Department of Anesthesiology as a Visiting Professor, and give Grand Rounds. I spoke about cognitive errors in anesthesiology, and how cognitive...

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