Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/11561
Title: Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis.
Authors: Gillon, Stuart A;Radford, Sam T
Affiliation: Department of Intensive Care, Austin Health, Melbourne, VIC, Australia. stuart.gillon@austin.org.au
Issue Date: 1-Sep-2012
Citation: Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine; 14(3): 216-20
Abstract: Misdiagnosis of the cause of illness in critically ill patients is common, and a major cause of morbidity and mortality. We reflect upon a misdiagnosis that occurred in the intensive care unit of a metropolitan teaching hospital, and highlight the susceptibility of medical decision making to error. We examine recent advances in cognitive theory and how these apply to diagnosis. We discuss the vulnerability of such processes and - with particular reference to our case - why even knowledgeable and diligent clinicians are prone to misdiagnose. Finally, we review potential solutions, both educational and systemic, that may guard against the inevitable failings of the human mind, especially in a busy modern intensive care setting.
Internal ID Number: 22963217
URI: http://ahro.austin.org.au/austinjspui/handle/1/11561
URL: http://www.ncbi.nlm.nih.gov/pubmed/22963217
Type: Journal Article
Subjects: Bayes Theorem
Bird Fancier's Lung.diagnosis
Diagnostic Errors.statistics & numerical data
Fatal Outcome
Female
Humans
Intensive Care Units
Middle Aged
Pulmonary Edema.diagnosis
Systemic Inflammatory Response Syndrome.diagnosis
Appears in Collections:Journal articles

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