Discover and read the best of Twitter Threads about #cognitiveerror
Most recents (1)
Formulating and appraising your PR (problem representation) is critical to the diagnostic process, and intrinsically welcomes cognitive bias
Work this case with me #MedTwitter
ED calls for admission: “40yo M w pneumonia”
*fist pump* sweet, easy admission
1/
Work this case with me #MedTwitter
ED calls for admission: “40yo M w pneumonia”
*fist pump* sweet, easy admission
1/
“Fever, cough, dyspnea x2d. WBC 20, triggered sepsis. Got cx, fluids, abx. CXR RLL infiltrate. Needs admission for sepsis 2/2 CAP”
With that PR, slam dunk pneumonia.
100% match for my CAP illness script, don’t even need my dyspnea schema (courtesy of @DxRxEdu @CPSolvers)
With that PR, slam dunk pneumonia.
100% match for my CAP illness script, don’t even need my dyspnea schema (courtesy of @DxRxEdu @CPSolvers)
#CognitiveBias of premature closure
+
cognitive load of retaking a full hx on such an “easy admission” 12hrs into call
=
Cutting corners in the name of “efficiency”
So you confirm a preconceived HPI
Fever✅
Cough✅
Leukocytosis✅
CXR infiltrate✅
Community acquired PNA✅
2/
+
cognitive load of retaking a full hx on such an “easy admission” 12hrs into call
=
Cutting corners in the name of “efficiency”
So you confirm a preconceived HPI
Fever✅
Cough✅
Leukocytosis✅
CXR infiltrate✅
Community acquired PNA✅
2/
