• Wien Med Wochenschr · Oct 2017

    Review

    [Cognitive errors in diagnostic decision making].

    • Martin Gäbler.
    • Institut für Präventiv- und Angewandte Sportmedizin - Universitätsklinikum Krems, Karl Landsteiner Privatuniversität für Gesundheitswissenschaften, Mitterweg 10, 3500, Krems an der Donau, Österreich. gaebler@richtiggesund.at.
    • Wien Med Wochenschr. 2017 Oct 1; 167 (13-14): 333-342.

    AbstractApproximately 10-15% of our diagnostic decisions are faulty and may lead to unfavorable and dangerous outcomes, which could be avoided. These diagnostic errors are mainly caused by cognitive biases in the diagnostic reasoning process.Our medical diagnostic decision-making is based on intuitive "System 1" and analytical "System 2" diagnostic decision-making and can be deviated by unconscious cognitive biases.These deviations can be positively influenced on a systemic and an individual level. For the individual, metacognition (internal withdrawal from the decision-making process) and debiasing strategies, such as verification, falsification and rule out worst-case scenarios, can lead to improved diagnostic decisions making.

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