TY - JOUR
T1 - Right diagnosis, wrong care
T2 - patient management reasoning errors in emergency care computer-based case simulations.
AU - Schauer, Guido F.
AU - Robinson, David J.
AU - Patel, Vimla
PY - 2011
Y1 - 2011
N2 - The pervasiveness of reasoning errors in emergency care (EC) is commonly acknowledged in clinical research. Much of this work has focused on diagnostic errors; yet, in EC, providing a specific diagnosis is generally secondary to managing the patient. To gain insights into non-diagnostic, treatment-related errors, we presented EC residents with computer-based case simulations and recorded their actions and verbalized thoughts. Nearly all participants diagnosed both study cases correctly yet made a variety of patient management errors, some with serious consequences. More substantial errors could be classified as stemming from incorrect patient status and treatment inferences. These EC reasoning errors are discussed within the framework of underlying cognitive processes.
AB - The pervasiveness of reasoning errors in emergency care (EC) is commonly acknowledged in clinical research. Much of this work has focused on diagnostic errors; yet, in EC, providing a specific diagnosis is generally secondary to managing the patient. To gain insights into non-diagnostic, treatment-related errors, we presented EC residents with computer-based case simulations and recorded their actions and verbalized thoughts. Nearly all participants diagnosed both study cases correctly yet made a variety of patient management errors, some with serious consequences. More substantial errors could be classified as stemming from incorrect patient status and treatment inferences. These EC reasoning errors are discussed within the framework of underlying cognitive processes.
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M3 - Article
C2 - 22195183
AN - SCOPUS:84874213361
SN - 1559-4076
VL - 2011
SP - 1224
EP - 1232
JO - AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
JF - AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
ER -