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Writer's pictureDr. Chris Le

Metacognition and Avoiding Clinical Errors in Medical Decision-Making | Clinical Pearls

Updated: May 18, 2020

Title: Metacognition and Avoiding Clinical Errors in Medical Decision-Making

Presenter(s): Dr. Vu Kiet Tran

Date: March 7, 2020

PEARL: Front-line medicine

  • Primarily a cognitive profession, subject to cognitive biases that lead to errors

PEARL: Diagnosis and Treatment are Probabilistic and Not Absolute.

  • There is no certainty, only progressively more convincing evidence.

PEARL: Anchoring (Diagnosis Momentum)

  • The greatest barrier to the proper diagnosis is a prior diagnosis

PEARL: Risk factors for cognitive errors

  • Cognitive overload

  • High decision density

  • Interruptions and distractions

  • Sleep deprivation

  • Fatigue

  • Emotional perturbations (affective state)

PEARL: A wise person learns from other’s mistakes

DISCLAIMER: This post contains my interpretation of the presentation. This post is not intended as medical advice. If you have medical concerns, contact a health care provider for assessment. If there are any copyright concerns, please contact me directly to remove the relevant material.

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