The relationship between time to diagnose and diagnostic accuracy among internal medicine residents: a randomized experiment.

ABSTRACT:

Background

Diagnostic errors have been attributed to cognitive biases (reasoning shortcuts), which are thought to result from fast reasoning. Suggested solutions include slowing down the reasoning process. However, slower reasoning is not necessarily more accurate than faster reasoning. In this study, we studied the relationship between time to diagnose and diagnostic accuracy.

Methods

We conducted a multi-center within-subjects experiment where we prospectively induced availability bias (using Mamede et al.'s methodology) in 117 internal medicine residents. Subsequently, residents diagnosed cases that resembled those bias cases but had another correct diagnosis. We determined whether residents were correct, incorrect due to bias (i.e. they provided the diagnosis induced by

SUBMITTER: Staal J 

PROVIDER: S-EPMC8061054 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature