Cognitive Psychology of Missed Diagnoses

Letters21 June 2005Cognitive Psychology of Missed DiagnosesDavid D. Derauf, MD, MPHDavid D. Derauf, MD, MPHFrom the Kokua Kalihi Valley Health Center, Honolulu, HI 96819. Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps: //doi. org/10. 7326/0003-4819-142-12Part₁-200506210-00021 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR: I thank Dr. Redelmeier for his recent article on the cognitive psychology of missed diagnoses (1). I hope it will prove useful in my own clinical practice as well as in the teaching of clinical skills to medical students and residents. Regarding the framing pitfall, perhaps another clinical maxim to consider would be, “Never choose a frame too small for the picture. ” In my own experience, it seems that framing is often the act of narrowing a diagnosis through choice of words, the utility of which needs to be weighed against the danger of prematurely eliminating alternative. . . References1. Redelmeier DA. Improving patient care. The cognitive psychology of missed diagnoses. Ann Intern Med. 2005;142: 115-20. PMID: 15657159 LinkGoogle Scholar2. Beck RS, Daughtridge R, Sloane PD. Physician-patient communication in the primary care office: a systematic review. J Am Board Fam Pract. 2002;15: 25-38. PMID: 11841136 MedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: David D. Derauf, MD, MPHAffiliations: From the Kokua Kalihi Valley Health Center, Honolulu, HI 96819. Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Cognitive Psychology of Missed Diagnoses Donald A. Redelmeier Cognitive Psychology of Missed Diagnoses Donald A. Redelmeier Cognitive Psychology of Missed Diagnoses Donald A. Redelmeier Metrics Cited byDelayed Diagnosis of Disseminated Cryptococcosis with Associated Meningoencephalitis in an Immunocompetent Septuagenarian Host 21 June 2005Volume 142, Issue 12Part₁Page: 1026KeywordsAnxietyCognitive psychologyConflicts of interest ePublished: 21 June 2005 Issue Published: 21 June 2005 Copyright & PermissionsCopyright © 2005 by American College of Physicians. All Rights Reserved. PDF downloadLoading. . .