Awareness and communication of uncertainty/confidence in your diagnosis is very important to help you become aware of diagnostic error. Please rate your uncertainty/confidence for your most probable diagnosis.
Penalties for Investigations:
Not using data penalty:
Ordering too many tests or rounds penalty:
No data was assigned to your differential diagnosis from any of these investigations:
Each test has a financial cost, a time cost to the patient, and some tests carry risks to the patient. It is important to avoid ordering too many tests. Also, each "round" of tests adds time to the diagnostic process and should be minimized as well.
This bias occurs if you accept a diagnosis as the "final most probable diagnosis" without collecting the confirmatory data (in other words, the ordering the gold standard test). If the following diagnoses were ranked as "most probable" for the case AND the required confirmatory data was not assigned as "INCREASES" probability, then the learner will be notified of behavior consistent with premature closure bias.
This bias occurs if you reject a diagnosis as probable without collecting the confirmatory data (in other words, the ordering the gold standard test). If the following diagnoses were either NOT included in the Ddx, or if they were included but did not have the following data assigned as "DECREASES" probability, then the learner will be notified of behavior consistent with failure to rule out worst case scenario.
This bias occurs if you choose a diagnosis early in the diagnostic process that was not the correct diagnosis, and indicated this diagnosis as the most probable diagnosis at least 3 out of 4 times during the case and again as the final diagnosis the end of the case.
This bias typically occurs in association with the Anchoring Bias. If there is key data that would effectively make a diagnosis highly unlikely AND that data is not assigned as "DECREASES" probability, then this behavior is consistent with confirmation bias.
Your opinion is very important. We use feedback to improve all our cases.
Kindly answer all our questions to help us refine and improve this case.
Your name will be connected to your comments. Please ensure all comments are appropriate.
Error Occur while delete the case info
Are you sure you want to rest data for this case?