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24 Cards in this Set

  • Front
  • Back
Anchoring
the tendency to be unduly persuaded by features encountered early in patient evaluation
Leads to “premature closure”
Most common cause of diagnostic error
Confirmation bias
attention paid disproportionately to observations that appear to confirm a hypothesis, rather than seeking evidence that might disprove it
Search satisficing
Tendency to abandon search to additional abnormalities or diagnoses, having achieved “satisfaction” from finding the first
Classic error in radiographic interpretation
Prevalence bias
Tendency to overestimate prevalence of a disease if we have recently seen a case, or read about one
Representative bias
Mistaken belief that circumstantial factors are representative of events we are anxious not to miss
Leads to disproportionate emphasis on relatively rare causes of disease/symptoms
Framing effect
Tendency to come to different decisions depending on how information is presented
Availability heuristic
Tendency to judge likelihood by the ease with which examples spring to mind
No-fault errors
Unusual presentation of disease
Patient-related (uncooperative, deceptive)
System-related errors
Technical failure, equipment problems
Organizational flaws
Cognitive errors
Faulty knowledge
Faulty data gathering
Faulty synthesis
Inattentional blindness
When attention is diverted to another object or task, observers often fail to perceive an unexpected object
Change blindness
Observers often fail to notice large changes to objects/scenes if the objects are not the center of interest
Battery
intentional, nonconsensual, offensive touching of the patient by physician
Negligence
failure to satisfy a professional standard of care.
Essential Elements of Informed Consent
Patient Capacity
Information
Voluntariness.
Express consent
granting of authority to render treatment
Implied consent
consent derived from the conduct of the involved parties
Consent implied in law
emergency treatment for patients unable to give consent.
Negligence in Informed Consent:
Physician had a duty to disclose information
Physician breached that duty
Patient was harmed
Harm was the result of an undisclosed risk
Patient would not have consented to the treatment had he known of the risks.
CAPACITY
Ability to receive information
Ability to process and understand information
Ability to deliberate
Ability to make and articulate choices.
Mini-mental status examination
Orientation
Registration
Attention and Calculation
Recall
Language
What to do when Capacity is Impaired
Identify advance directives or power of attorney documents
Identify a surrogate decision maker
Honor patient-centered values
Substituted judgment
Best interest.
Exceptions to Informed Consent
Emergencies
Patient unable to consent
Patient waiver of consent
Public health requirements
Therapeutic privilege.
Emergency Exception to Informed Consent
Immediate intervention is necessary to prevent death or serious harm
Delay to obtain consent could be harmful
Presumption that most patients would consent if given the time and choice.