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<blockquote data-quote="Biggles2" data-source="post: 1747949" data-attributes="member: 406880"><p>This is a sound approach [USER=419035]@Sam50[/USER]! </p><p></p><p>There are various 'system factors' and 'human factors' that can threaten patient safety in the context of making a medical diagnosis. Doctors are responsible for making a medical diagnosis and a diagnostic error can have life or death consequences for an individual. It is a huge responsibility in a system where doctors have less and less time with their patients due to increasing production pressures (the need to see more patients in less time) as a consequence of budgetary constraints/limitations. This is an example of a systems factor that threatens patient safety.</p><p></p><p>A human factor would include the issue of a diagnostic error - including wrong diagnosis/failure to diagnose. A diagnostic error is a patient safety threat (obviously); diagnostic errors are also incredibly costly to the health system. </p><p></p><p>As humans, we all have cognitive biases, and diagnostic errors in primary care are associated with very specific cognitive biases including: 'premature closing & anchoring bias', 'confirmation bias' and 'status quo bias' to name a few. Here is a link to an article that describes the role and critical implications of cognitive bias in diagnostic errors:</p><p><a href="https://psnet.ahrq.gov/webmm/case/350/anchoring-bias-with-critical-implications" target="_blank">https://psnet.ahrq.gov/webmm/case/350/anchoring-bias-with-critical-implications</a></p><p></p><p>On a positive note, the article also links to a piece on a computer-assisted diagnostic expert system - and includes a short clip from a BBC documentary on the usefulness of this system in medical diagnosis, as well as the story behind its development:</p><p><a href="https://www.isabelhealthcare.com/" target="_blank">https://www.isabelhealthcare.com/</a></p></blockquote><p></p>
[QUOTE="Biggles2, post: 1747949, member: 406880"] This is a sound approach [USER=419035]@Sam50[/USER]! There are various 'system factors' and 'human factors' that can threaten patient safety in the context of making a medical diagnosis. Doctors are responsible for making a medical diagnosis and a diagnostic error can have life or death consequences for an individual. It is a huge responsibility in a system where doctors have less and less time with their patients due to increasing production pressures (the need to see more patients in less time) as a consequence of budgetary constraints/limitations. This is an example of a systems factor that threatens patient safety. A human factor would include the issue of a diagnostic error - including wrong diagnosis/failure to diagnose. A diagnostic error is a patient safety threat (obviously); diagnostic errors are also incredibly costly to the health system. As humans, we all have cognitive biases, and diagnostic errors in primary care are associated with very specific cognitive biases including: 'premature closing & anchoring bias', 'confirmation bias' and 'status quo bias' to name a few. Here is a link to an article that describes the role and critical implications of cognitive bias in diagnostic errors: [URL]https://psnet.ahrq.gov/webmm/case/350/anchoring-bias-with-critical-implications[/URL] On a positive note, the article also links to a piece on a computer-assisted diagnostic expert system - and includes a short clip from a BBC documentary on the usefulness of this system in medical diagnosis, as well as the story behind its development: [URL]https://www.isabelhealthcare.com/[/URL] [/QUOTE]
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