• Pediatr. Clin. North Am. · Dec 2018

    Review

    Diagnostic Decision-Making in the Emergency Department.

    • Laura N Medford-Davis, Hardeep Singh, and Prashant Mahajan.
    • Department of Emergency Medicine, Ben Taub General Hospital, 1504 Taub Loop, Houston, TX 77030, USA. Electronic address: Medford.davis@gmail.com.
    • Pediatr. Clin. North Am. 2018 Dec 1; 65 (6): 1097-1105.

    AbstractEmergency medicine requires diagnosing unfamiliar patients with undifferentiated acute presentations. This requires hypothesis generation and questioning, examination, and testing. Balancing patient load, care across the severity spectrum, and frequent interruptions create time pressures that predispose humans to fast thinking or cognitive shortcuts, including cognitive biases. Diagnostic error is the failure to establish an accurate and timely explanation of the problem or communicate that to the patient, often contributing to physical, emotional, or financial harm. Methods for monitoring diagnostic error in the emergency department are needed to establish frequency and serve as a foundation for future interventions.Copyright © 2018 Elsevier Inc. All rights reserved.

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