Decision Making in Emergency Medicine: Biases, Errors and Solutions

Front Cover
Manda Raz, Pourya Pouryahya
Springer Nature, May 29, 2021 - Medical - 394 pages

The book covers various scenarios when errors, biases and systemic barriers prevail in emergency medicine, discusses their impact, and then offers solutions to mitigate their undesired outcomes. The process of clinical reasoning in emergency medicine is a complex exercise in cognition, judgment and problem-solving that is prone to mistakes. The book presents various cases written by a team of emergency specialists and trainees in an engaging format that is helpful for the practicing and teaching emergency doctor and trainees.

The book discusses 60 different types of biases and errors with clinical cases, and knowledge of strategies to mitigate them—a concept known as ‘cognitive debiasing’ that has the potential to reduce diagnostic error, and therefore, morbidity and mortality. It aims to help the readers during assessment of patients in the emergency department. Each chapter includes 4 cases illustrating the bias, error or barrier discussed, followed by a potential solution.

This book helps in polishing the thinking and behavior of the readers so to potentially enhance their clinical competence in emergency department.

 

Contents

We Cant Escape Bias
1
Aggregate Bias
9
Ambiguity Bias
15
Anchoring Bias
21
Ascertainment Bias
28
Attentional Bias
35
Authority Bias
41
Availability Bias
47
InterGroup Bias
201
Mere Exposure Effect
208
Modality Effect
215
Multiple Alternatives Bias
221
Need for Closure Bias
229
Negativity Bias
236
Neglect of Probability Bias
245
Omission Bias
251

Bandwagon Effect
53
Base Rate Neglect
59
Belief Bias
64
Blind Spot Bias
71
Commission Bias
77
Confirmation Bias
83
Congruence Bias
89
Contrast Effect
97
Decision Fatigue Effect
103
Deformation Professionnelle Bias
111
Diagnostic Momentum Error
117
DunningKruger Effect
123
Ego Bias
129
Expectation Bias
135
Feedback Sanction
140
Framing Effect
147
Fundamental Attribution Error
153
Gamblers Fallacy
159
Gender Bias
167
Hawthorne Effect
173
Hindsight Bias
179
Illusory Correlation
185
Information Bias
195
Order Bias
257
Outcome Bias
263
Overconfidence Bias
271
Planning Fallacy
277
Playing the Odds Bias
281
Posterior Probability Bias
287
Premature Closure
292
PsychOut Error
301
Reactance Bias
307
Representativeness Restraint
313
Reverse Ego Bias
318
Search Satisfaction
325
SelfServing Bias
331
Semmelweis Reflex
339
Status Quo Effect
344
Sunk Cost Bias
351
Suttons Law and Suttons Slip
357
Triage Cueing Error
363
Unpacking Principle Error
370
Visceral Bias
377
Yin Yang Out Error
383
Zebra Retreat
389
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About the author (2021)

Dr Manda Raz is an Australian doctor affiliated with Peninsula Health in Melbourne, with broad interest in academia, research and acute care medicine. He completed his MBBS from Monash University, Australia. Dr Raz is the recipient of several scholarships, awards and medals for his academic achievements and contribution to empirical research and clinical governance. He is also the author and editor of multiple books and reference works spanning a number of clinical, legal and administrative specialties.

Associate Professor Pourya Pouryahya, MD, FACEM, GC ClinEpi, CCPU, M Traumatology, MPH; is a Consultant Emergency Physician, Director of Emergency Medicine Research (DEMR), Monash Health, Casey hospital, Australia. A/Prof Pouryahya is a highly recognised Clinical Associate Professor at Monash University School of Clinical Sciences with double masters in traumatology and public health. He has specialinterests in trauma, sepsis and critical care, point of care ultrasound (PoCUS), biostatistics, and bias in medicine. A/Prof Pouryahya also serves as the co-chair of Monash Health fellowship teaching program and biannual Victorian fellowship practice exam, and leads the Monash Emergency-Monash Health sepsis and Casey Hospital-Monash Health emergency department ultrasound groups. He also serves on the Australasian College for Emergency Medicine (ACEM) court of examiners (COE), primary examination viva deputy chair, primary and fellowship exams standard setting panels.

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