Post on 26-Jan-2017
transcript
What do we mean by judgement
ACP Journal Club March/April 2005 | Volume 142 • Number 2
93% of Americans69% of Swedes
Svenson 1981 Acta Psychologica
Illusory superiority cognitive bias
Are you a better than average driver?
we are a risky speciality with the potential for subsequent harmPatients are at an early stage of disease
ClocksPatients
Discharge
Biological onset of disease
Early features
Late features
Physiological manifestation
Critical Illness
Time
Disease manifestation
Time
Disease manifestation
Probabilityof error
Time
Disease manifestation
Probabilityof error
Time
EM Visit
Disease manifestation
Probabilityof error
Time
On the post take ward round
Radiopaedia
headache and collapse
Headache
Feedback in Emergency Medicine
clinicalfeedback
performance
adaptation
feedback
assessment
m&m
• 2. Ask the right questions
What were you thinking….
Why did that seem to be the right idea at the time…..
How did you/we decide that…
What else were you thinking about….
Summary
population medicine vs individuals
Gestalt plus PERC rule will fail to spot two PEs for every
thousand patients investigated.
Making Good DecisionsSimon Carley