Doctor errors and professional experience
https://doi.org/10.30629/0023-2149-2020-98-4-307-314
Abstract
The professional experience of a doctor is the basis of his activity. A step-by-step mechanism for the formation of experience in medicine is given. The negative and professional experience of the doctor is presented in comparison. The connection of the doctor's experience with the analysis of errors is shown. The components of experience are considered. The phenomenon of stereotype and its role in the experience and occurrence of errors in doctors are discussed. The structure of the causes of a single doctor's error is given. The importance of understanding the relationship of error and experience in solving the problem of errors in medicine is emphasized.
About the Authors
M. M. Makhambetschin
Scientific Research Institute of Traumatology and Orthopedics of the Republic of Kazakhstan
Kazakhstan
Kazakhstan
Murat M. Makhambetschin — MD, PhD senior researcher, associate professor.
010009, Nur-Sultan.
K. T. Shakeyev
Medical University of Karaganda
Kazakhstan
Kazakhstan
100017, Karaganda.
References
1. Fomenko A.G. Medical errors, or an invitation to talk about patient safety. State service of medical forensic examinations. 2008; 45(879): November 06. (in Russian) URL: http://medvestnik.by/ru/issues/a_2061.html/ Date of access: 11.03.2017.
2. Becher E.C., Chassin M.R. Improving Quality, Minimizing Error: Making It Happen. Health Aff airs. 2001;20(3):68-81. URL: http://content.healthaffairs.org/content/20/3/68.full.pdf.
3. Groopman J. How Doctors Think. United States: Houghton Mifflin; 2007;320.
4. Horton R. What's Wrong with Doctors. The New York Review of Books. 2007;54.
5. Saposnik G., Redelmeier D., Ruff C.C., Tobler P.N. Cognitive biases associated with medical decisions: a systematic review. BMC. Med. Inform. Decis. Mak. 2016;16(1):138.
6. Motterlini M. Cognitive traps and clinical decisions. G. Ital. Cardiol. (Rome). 2017;18(12):809-13. doi: 10.1714/2815.28462.
7. Gabler M. Cognitive errors in diagnostic decision making. Wien Med. Wochenschr. 2017;167(13-14):333-42. doi: 10.1007/s10354-017-0570-6. Epub. 2017; May 23. Review. German. PubMed PMID: 28536918.
8. Lowenstein E.J., Sidlow R. Diagnostic heuristics in dermatology, part 2: metacognition and other fixes. Br. J. Dermatol. 2018;179(6):1270-6. doi: 10.1111/bjd.17127. Epub. 2018; Oct 14.
9. Itri J.N., Patel S.H. Heuristics and Cognitive Error in Medical Imaging. AJR. Am. J. Roentgenol. 2018;210(5):1097-105. doi: 10.2214/AJR.17.18907.
10. Hussain A., Oestreicher J. Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. Surv. Ophthalmol. 2018;63(1):119-24. doi: 10.1016/j.survophthal.2017.08.007.
11. Mezzio D.J., Nguyen V.B., Kiselica A., O'Day K. Evaluating the Presence of Cognitive Biases in Health Care Decision Making: A Survey of U.S. Formulary Decision Makers. J. Manag. Care Spec. Pharm. 2018;24(11):1173-83. doi: 10.18553/jmcp.2018.24.11.1173
12. Richie M., Josephson S.A. Quantifying Heuristic Bias: Anchoring, Availability, and Representativeness. Teach Learn Med. 2018;30(1):67-75. doi: 10.1080/10401334.2017.1332631
13. Surry L.T., Torre D., Trowbridge R.L., Durning S.J. A mixed-methods exploration of cognitive dispositions to respond and clinical reasoning errors with multiple choice questions. BMC. Med. Educ. 2018;18(1):277. doi: 10.1186/s12909-018-1372-2.
14. Shlonsky A., Featherston R., Galvin K.L., Vogel A.P., Granger C.L., Lewis C., Luong M.L., Downie L.E. Interventions to Mitigate Cognitive Biases in the Decision Making of Eye Care Professionals: A Systematic Review. Optom. Vis. Sci. 2019;96(11):818-24. doi: 10.1097/OPX.0000000000001445.
15. Balakrishnan K., Arjmand E.M. The Impact of Cognitive and Implicit Bias on Patient Safety and Quality. Otolaryngol. Clin. North Am. 2019;52(1):35-46. doi: 10.1016/j.otc.2018.08.016.
16. Royce C.S., Hayes M.M., Schwartzstein R.M. Teaching Critical Thinking: A Case for Instruction in Cognitive Biases to Reduce Diagnostic Errors and Improve Patient Safety. Acad Med. 2019;94(2):187-94. doi: 10.1097/ACM.0000000000002518.
17. Altabbaa G., Raven A.D., Laberge J. A simulation-based approach to training in heuristic clinical decision-making. Diagnosis (Berl). 2019;6(2):91-9. doi: 10.1515/dx-2018-0084.
18. Bolshaya Sovetskaya enciklopediya, Moscow: Sovetskaya enciklopediya. 1969-1978. Vol. 18. Part 3. (in Russian)
19. Postovit V. A. Diagnosis and diagnostics in clinical medicine. Textbook. L.: LPMI; 1991; 103. (in Russian) URL: http://lekmed.ru/info/arhivy/diagnoz-i-diagnostika-v-klinicheskoy-medicine-7.html.
20. Postovit V.A. on the meaning of experience in the practice of a doctor. Klinicheskaya meditsina. 1991;(2):112-4. (in Russian)
21. Kushnir V. And experience is the son of difficult mistakes (from the memories of an old doctor). Art treatment. 2004; 4. (in Russian)
22. Guglin E. Clinical studies. URL: http://guglin.ru/book. (in Russian)
23. Girshin S.G. Clinical lectures on emergency traumatology. Saint Petersburg: Azbuka, 2004: 543. (in Russian)
24. Tetenev F.F., Bodrova T.N., Kalinina O.V. Formation and development of clinical thinking — the most important task of medical education. Uspekhi sovremennogo estestvoznaniya. 2008;4:63-5. (in Russian)
25. Ospovat B.L., Kopylov A.I. Acute surgical diseases of the abdominal cavity under the mask of food toxicoinfection. (Library of the practical doctor). Moscow: 1971: 196. (in Russian)
26. Mondor G. Emergency diagnosis. Belly. Vol. 2. Publisher: Book on demand, 2012: 366. (in Russian)
Review
For citations:
Makhambetschin M.M., Shakeyev K.T. Doctor errors and professional experience. Clinical Medicine (Russian Journal). 2020;98(4):307-314. (In Russ.) https://doi.org/10.30629/0023-2149-2020-98-4-307-314
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