Unwanted patients and unwanted diagnostic errors

@article{Redelmeier2016UnwantedPA,
  title={Unwanted patients and unwanted diagnostic errors},
  author={Donald A. Redelmeier and Edward E. Etchells},
  journal={BMJ Quality \& Safety},
  year={2016},
  volume={26},
  pages={1 - 3}
}
Real people have real emotions that motivate their thinking. For example, the hopes of having a child can lead women with infertility to undergo courses of intense hormonal treatments and the fear of dying can lead men with prostate cancer to undergo surgical castration.1 Much of the attention towards advanced directives and discussions about goals of care are intended to document and legitimize a patient's emotions related to death and dying. Indeed, guidelines for physician-aided-dying… Expand
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References

SHOWING 1-10 OF 14 REFERENCES
Understanding patients' decisions. Cognitive and emotional perspectives.
TLDR
It is suggested that an awareness of how people reason is an important clinical skill that can be promoted by knowledge of selected past studies in psychology. Expand
Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment
TLDR
Interestingly, the confrontation with difficult patients does however not cause the doctor to spend less time on such case, and time can not be considered an intermediary between the way the patient is perceived, his or her likability and diagnostic performance. Expand
Improving patient care. The cognitive psychology of missed diagnoses.
TLDR
This case involves a patient given a diagnosis of pharyngitis, whose ultimate diagnosis of osteomyelitis was missed through a series of cognitive shortcuts, suggesting that becoming aware of common errors might lead to sustained improvement in patient care. Expand
Why patients’ disruptive behaviours impair diagnostic reasoning: a randomised experiment
TLDR
Efforts should be made to increase doctors’ awareness of the potential negative influence of difficult patients’ behaviours on diagnostic decisions and their ability to counteract such influence, apparently because doctors spend part of their mental resources on dealing with the difficult patients' behaviours, impeding adequate processing of clinical findings. Expand
Judging Whether a Patient is Actually Improving: More Pitfalls from the Science of Human Perception
Fallible human judgment may lead clinicians to make mistakes when assessing whether a patient is improving following treatment. This article provides a narrative review of selected studies inExpand
The effect of socioeconomic status on access to primary care: an audit study
TLDR
Within a universal health insurance system in which physician reimbursement is unaffected by patients’ socioeconomic status, people presenting ourselves as having high socioeconomic status received preferential access to primary care over those presenting themselves as having low socioeconomic status. Expand
Defendant's Attractiveness as a Factor in the Outcome of Criminal Trials: An Observational Study1
Observers rated the physical attractiveness of 74 defendants in criminal court, covering a broad range of offenses. Seventy-three usable cases were obtained. For 67 defendants (excluding those whoExpand
Unanimity on death with dignity--legalizing physician-assisted dying in Canada.
  • A. Attaran
  • Medicine
  • The New England journal of medicine
  • 2015
In February 2015, the Supreme Court of Canada voted unanimously to legalize physician-assisted dying, arguing that prohibiting people from making decisions about their own death or bodily integrityExpand
The Origins of the Notion of Countertransference.
  • A. Stefana
  • Psychology, Medicine
  • Psychoanalytic review
  • 2015
TLDR
Historically contextualize and analyze the birth and early development of the concept of countertransference, introduced by Sigmund Freud in 1909, by considering scientific publications and the historical information about the personal relationship between Freud and his students, and among his students and some of their colleagues and patients. Expand
Scarcity: Why Having Too Little Means So Much
Why can we never seem to keep on top of our workload, social diary or chores? Why does poverty persist around the world? Why do successful people do things at the last minute in a sudden rush ofExpand
...
1
2
...