Avoiding the delayed, wrong or missed diagnosis. 
Video featuring @symon_ben
https://twitter.com/symon_ben/status/1564815552165838848
#RootCauseAnalysis of diagnostician error
Red team and Blue team
Blue team - see patient, examine, order investigations, etc.
Red team - “devil’s advocate” - ask probing questions, suggest alternative diagnoses
Establishes a culture of a norm of asking and being asked questions #PsychologicalSafety
Blue team - see patient, examine, order investigations, etc.
Red team - “devil’s advocate” - ask probing questions, suggest alternative diagnoses
Establishes a culture of a norm of asking and being asked questions #PsychologicalSafety
System I vs System II thinking
Pattern recognition is fast. Then take a diagnostic pause.
Pattern recognition is fast. Then take a diagnostic pause.
Combatting Biases
Be aware of them
Checklists
Check with colleagues
Be aware of them
Checklists
Check with colleagues
High risk for diagnostic error
Analysis of diagnostic error
Cognitive factors feature highly
Vulnerable groups: indigenous child, CALD child, remote locations, <4yo
Cognitive factors feature highly
Vulnerable groups: indigenous child, CALD child, remote locations, <4yo
Differential diagnosis
Document 4 differential diagnoses in your notes!
SPIT
Serious
Probable
Interesting
Treatable
Document 4 differential diagnoses in your notes!
SPIT
Serious
Probable
Interesting
Treatable
What will I try to do tomorrow?
What about you?
What are your frames? (HALTS?)
Remember why we do this.
Hopefully this will help reduce diagnostic error.
What are your frames? (HALTS?)
Remember why we do this.
Hopefully this will help reduce diagnostic error.
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