High-risk situation | Potential biases |
---|---|
1. Was this patient handed off to me from a previous shift? | Diagnosis momentum, framing |
2. Was the diagnosis suggested to me by the patient, nurse or another physician? | Premature closure, framing bias |
3. Did I just accept the first diagnosis that came to mind? | Anchoring, availability, search satisficing, premature closure |
4. Did I consider other organ systems besides the obvious one? | Anchoring, search satisficing, premature closure |
5. Is this a patient I don't like, or like too much, for some reason? | Affective bias |
6. Have I been interrupted or distracted while evaluating this patient? | All biases |
7. Am I feeling fatigued right now? | All biases |
8. Did I sleep poorly last night? | All biases |
9. Am I cognitively overloaded or overextended right now? | All biases |
10. Am I stereotyping this patient? | Representative bias, affective bias, anchoring, fundamental attribution error, psych out error |
11. Have I effectively ruled out must-not-miss diagnoses? | Overconfidence, anchoring, confirmation bias |
Adapted from Graber:34 General checklist for AHRQ project.
A description of specific biases can be found in Croskerry.7