Judging Whether a Patient is Actually Improving: More Pitfalls from the Science of Human Perception

Redelmeier, Donald A.; Dickinson, Victoria M.

doi:10.1007/s11606-012-2097-2

Cited by 13 publications

(7 citation statements)

References 53 publications

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“…These chores often occur during relatively peaceful moments that could have been reserved for mindful reflection to ponder a recent patient complication or plan for the next clinical event. 3 The magnitude of such opportunity costs for each clinician depends on both the signal-to-noise ratio and volume of incoming messages. Additionally, a valuable message is easily buried in the pile of other valuable messages.…”

Section: Mindless Checkingmentioning

confidence: 99%

Pitfalls with Smartphones in Medicine

Redelmeier

Detsky

2013

J GEN INTERN MED

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Section: Mindless Checkingmentioning

confidence: 99%

Pitfalls with Smartphones in Medicine

Redelmeier

Detsky

2013

J GEN INTERN MED

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“…Typically, a patient’s personality cannot be changed by a physician; instead, the taxonomy provides insights for a physician toward adjusting care to fit a patient’s personality. 21 , 22 The taxonomy can also provide systematic language for clinicians to communicate nuances to colleagues, recognize traits in a clinical interaction, or build trust by self-disclosure. 23 Precise recommendations on how to treat a patient who has specific traits, however, are beyond the scope of this article because a clinical encounter is an interaction between the personality of the patient, the personality of the responsible clinician, and the personality of other involved individuals.…”

Section: Discussionmentioning

confidence: 99%

Understanding Patient Personality in Medical Care: Five-Factor Model

2021

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Personality is the description of an individual's tendencies when acting or reacting to others. Clinicians spontaneously form impressions of a patient's apparent personality yet such unstructured impressions might lead to snap judgments or unhelpful labels. Here we review the evidence-based five-factor model from psychology science for understanding personalities (OCEAN taxonomy). Openness to experience is defined as the general appreciation for a variety of experiences. Conscientiousness is the tendency to exhibit self-discipline. Extraversion is the degree of engagement with the external world. Agreeableness is the general concern for social harmony. Neuroticism is the tendency to experience negative emotions. An awareness of these five dimensions might help clinicians avoid faulty judgments from casual contact. Expert assessment of personality requires extensive training and data, thereby suggesting that clinicians should take a humble view of their own unsophisticated impressions of a patient's personality.

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“…17 A further safeguard is to declare explicitly the anticipated course so subsequent follow-up is not slanted by a faulty memory. 18 Admittedly, these strategies demand willpower since clinicians prefer agreeable collegial conversation and many medical decisions will be right by chance alone.…”

Section: Confirmation Biasmentioning

confidence: 99%

Practicing Medicine with Colleagues: Pitfalls from Social Psychology Science

Redelmeier

Ross

2019

J GEN INTERN MED

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This perspective reviews three pitfalls from psychology science that can distort clinical assessments and contribute to interpersonal conflicts. One pitfall is the illusion that one's own subjective perceptions or judgments are objective observations or interpretations that reasonable colleagues would share. A second pitfall involves selfserving situational attributions rather than disposition attributions for explaining missteps after things go wrong. A third pitfall is confirmation bias that leads to a perseverance of erroneous beliefs, a tendency to mostly seek supportive colleagues, and a failure to check for dissenting viewpoints. An awareness of these three pitfalls may help clinicians improve patient care when practicing with colleagues.KEY WORDS: medical error; fallible reasoning; judgment and decisions; illusion of objectivity; situational factors; confirmation bias.

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Judging Whether a Patient is Actually Improving: More Pitfalls from the Science of Human Perception

Cited by 13 publications

References 53 publications

Pitfalls with Smartphones in Medicine

Pitfalls with Smartphones in Medicine

Understanding Patient Personality in Medical Care: Five-Factor Model

Practicing Medicine with Colleagues: Pitfalls from Social Psychology Science

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