Improving Clinical Reasoning, Reducing Diagnostic Errors
Prof. Dr. Chew Keng Sheng, MD, MMed
Course SynopsisWelcome to Improving Clinical Reasoning, Reducing Diagnostic Errors! The course introduces the learners to the overarching concepts in patient safety with a particular focus on the importance of good clinical reasoning, the impact of cognitive errors as a source of diagnostic errors as well as some strategies in minimizing them. How a clinician thinks influences how he or she makes clinical decisions, in particular, in terms of differential diagnoses generation and consideration as well as therapeutic options. The course also introduces the learner to the dual process theory of thinking as a predominant framework on our thought process as well as the limitations and fallacies of this model. This course is not only about delivering unique contents but also curating some of the best yet free resources for the learners to explore and learn further.
By the end of this course, the learners will be able to:
- describe sources that may compromise patient safety
- describe the impact of diagnostic errors on patient safety
- describe the dual process theory of thinking as a conceptual model for clinical reasoning as well as the limitations of this model
- state the classes of cognitive errors and give examples of each
- describe the affective errors impacting the quality of clinical decisions
- state and apply strategies to minimize cognitive errors in clinical decisions
- apply a mnemonic checklist called the TWED checklist to minimize cognitive errors in clinical decision making
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