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You are here: Home / Articles / How a Rheumatologist Thinks: Cognition and Diagnostic Errors in Rheumatology

How a Rheumatologist Thinks: Cognition and Diagnostic Errors in Rheumatology

November 1, 2010 • By Dennis J. Boyle, MD

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Unpacking principle: Providing a more detailed description of an event increases its judged probability.

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Vertical line failure: Commonly known as “thinking inside the box,” an inflexible diagnostic approach that emphasizes economy, efficacy, and utility.

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Zebra retreat: The tendency to not consider a particular disease because of its unfamiliarity.

Playing the odds: The tendency in ambiguous presentations to opt for a benign diagnosis on the basis that it is significantly more likely than a serious one.

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Posterior Probability: Occurs when a physician’s estimate for the likelihood of disease is unduly influenced by what has gone on before for a particular patient.

Visceral bias: The influence of affective sources of error on decision making.

Yin-Yang out: The tendency to believe that nothing further can be done to illuminate any definitive diagnosis so that the physician is let out of further diagnostic effort.

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Premature closure: Focusing excessively on one disease because of one characteristic finding.

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Filed Under: Professional Topics, Safety Tagged With: Diagnosis, Diagnostic Criteria, Errors, Quality, rheumatologyIssue: November 2010

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ISSN 1931-3268 (print)
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