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. 2016 Jun 27;31(12):1530–1536. doi: 10.1007/s11606-016-3769-0

Table 2.

Selected Cognitive Heuristics and Biases Contributing to Errors in Clinical Reasoning25,34,59

Heuristic/bias Definition Example from case
Availability Heuristic Judging by ease of recalling past cases • Clinical diagnosis of pneumonia at initial presentation with fever, tachycardia, dyspnea, tachypnea and abnormal CXR
Anchoring Heuristic Relying on initial impressions • Continuing to diagnose pneumonia at initial presentation despite failure to improve on antibiotics
Blind Obedience Showing undue deference to authority of technology • Overreliance on negative ANA and Anti-Jo1 autoantibodies and normal CK
Premature Closure Espousing narrow-minded belief in single idea • Exclusion of dermatomyositis on the differential diagnosis
Information Overload Too much data for an individual to organize, synthesize or use to draw conclusions from • Multiple hospitalizations and a plethora of diagnostic tests resulting in a long medical record that was cumbersome to review
Information Avoidance Ignoring relevant information and useful information sources • Failure to re-examine patient’s entire clinical presentation
Inattentional Blindness/Perceptual Blindness Failing to perceive an unexpected object/task/result due to focusing attention elsewhere • Overlooking initially elevated aldolase