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Diagnostic error

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By Dr Idris

By Dr Idris


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  • Model for diagnostic reasoning based on pattern recognition and dual-process theory. The model is linear, running from left to right. The initial presentation of illness is either recognized or not by the observer. If it is recognized, the parallel fast, automatic processes of System 1 engage, whereas if it is not, the slower, analytical processes of System 2 engage instead. Determinants of System 1 and 2 processes are shown in dotted line boxes. Repetitive processing in System 2 leads to recognition and default to System 1 processing. Either system may override the other. A System 1 response may proceed directly to a diagnosis, or the outputs from both systems pass into a calibrator where interaction occurs to produce the ?nal diagnosis. A ‘cognitive miser’ function prevails—the tendency to default to a state that consumes fewer cognitive resources. Adapted with permission from Croskerry (2009a)
  • Model for diagnostic reasoning based on pattern recognition and dual-process theory. The model is linear, running from left to right. The initial presentation of illness is either recognized or not by the observer. If it is recognized, the parallel fast, automatic processes of System 1 engage, whereas if it is not, the slower, analytical processes of System 2 engage instead. Determinants of System 1 and 2 processes are shown in dotted line boxes. Repetitive processing in System 2 leads to recognition and default to System 1 processing. Either system may override the other. A System 1 response may proceed directly to a diagnosis, or the outputs from both systems pass into a calibrator where interaction occurs to produce the ?nal diagnosis. A ‘cognitive miser’ function prevails—the tendency to default to a state that consumes fewer cognitive resources. Adapted with permission from Croskerry (2009a)