Approach to making the availability heuristic less available

Redelmeier, Donald A.; Ng, Kelvin

doi:10.1136/bmjqs-2020-010831

Cited by 11 publications

(11 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The diagnostic criteria for LACNES and information on the preferred sites of ACNES have been conveniently used to diagnose ACNES and LACNES (1-3). Since both the pinch sign and Carnett's sign were positive, which have been reported to be present in about 80% of patients with ACNES, the availability and confirmation biases strongly influenced the cognitive bias when forming the diagnosis in the present patient (2,9).…”

Section: Discussionmentioning

confidence: 77%

A Rare Presentation of a Compression Fracture or a Typical Presentation of Lateral Cutaneous Nerve Entrapment Syndrome: A Diagnostic Error?

Endo

Watari

2022

Intern. Med.

View full text Add to dashboard Cite

A 78-year-old woman complained of severe pain in the left costal region. Her body mass index was 23.1 kg/m 2 . Lateral cutaneous nerve entrapment syndrome (LACNES) was the suspected diagnosis because the affected area was 2×2 cm and positive for pinch sign. Seventeen days later, the patient again presented with complaints of lower back pain accompanied by back pain upon extending the spine. Magnetic resonance imaging of the spine showed a fracture of the vertebral body of T11. We herein discuss our errors in the diagnostic process and critical tactics for avoiding such errors in the future.

show abstract

Section: Discussionmentioning

confidence: 77%

A Rare Presentation of a Compression Fracture or a Typical Presentation of Lateral Cutaneous Nerve Entrapment Syndrome: A Diagnostic Error?

Endo

Watari

2022

Intern. Med.

View full text Add to dashboard Cite

show abstract

“…This fragmentation ignores the intersecting characteristics and experiences of a person, rather than seeing the person as a whole. A fragmented approach influences the structure of mental health assessments as well as the results obtained, most often giving primacy to symptomatology rather than to psycho-social aspects of a person, their narratives and experiences [32]. A tendency to make judgements based on ease of available knowledge ('heuristic bias') can lead to errors in assessment, care and treatment through neglecting information that is available, but that might not be recalled or drawn upon as readily [33].…”

Section: Discussionmentioning

confidence: 99%

“…As demonstrated in the findings, where in giving prominence to medical discourses, a person's culture, identity and heritage are displaced. Such bias have implications for practice, particularly the conversations conducted and the knowledge that is coproduced [32].…”

Section: Discussionmentioning

confidence: 99%

Institutional injustice: Implications for system transformation emerging from the mental health recovery narratives of people experiencing marginalisation

Hui

Rennick-Egglestone

Franklin³

et al. 2021

PLoS ONE

View full text Add to dashboard Cite

Background Institutional injustice refers to structures that create disparities in resources, opportunities and representation. Marginalised people experience institutional injustice, inequalities and discrimination through intersecting personal characteristics and social circumstances. This study aimed to investigate sources of institutional injustice and their effects on marginalised people with experience of mental health problems. Methods Semi-structured interviews were conducted with 77 individuals from marginalised groups with experience of mental health problems, including psychosis, Black, Asian and minority ethnic (BAME) populations, complex needs and lived experience as a work requirement. These were analysed inductively enabling sensitising concepts to emerge. Findings Three processes of institutional injustice were identified: not being believed because of social status and personal backgrounds; not being heard where narratives did not align with dominant discourses, and not being acknowledged where aspects of identity were disregarded. Harmful outcomes included disengagement from formal institutions through fear and mistrust, tensions and reduced affiliation with informal institutions when trying to consolidate new ways of being, and damaging impacts on mental health and wellbeing through multiple oppression. Conclusions Institutional injustice perpetuates health inequalities and marginalised status. Master status, arising from dominant discourses and heuristic bias, overshadow the narratives and experiences of marginalised people. Cultural competency has the potential to improve heuristic availability through social understandings of narrative and experience, whilst coproduction and narrative development through approaches such as communities of practice might offer meaningful avenues for authentic expression.

show abstract

“…Furthermore, when the patient presented again with worsening pulmonary symptoms (still without signs of systemic inflammation to suggest pneumonia), the inclination was to consider this bacterial pneumonia refractory for outpatient antibiotic therapy and admit the patient for IV antibiotics. Heuristics and other forms of system 1 decision making play a role in many of our clinical decisions [7,8]. However, at times, these may lead us astray, and we must be mindful of instances when the presentation pattern and treatment outcomes do not match our knowledge of the disease.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Pneumonia? A Case of Availability Bias and Anchoring

Rentas¹,

Goetz²,

Mkorombindo³

et al. 2020

Cureus

View full text Add to dashboard Cite

Invasive mucinous adenocarcinoma is a multi-centric adenocarcinoma that accounts for less than 5% of all lung cancer diagnoses. The most common presenting symptoms (cough, sputum production, and chest pain) in conjunction with its radiographic findings (patchy, multi-lobar infiltrates) make invasive mucinous adenocarcinoma challenging to distinguish from both infectious and inflammatory pneumonia. However, due to its aggressive nature, invasive mucinous adenocarcinoma should be considered if a presumed case of pneumonia lacks symptoms of infection (e.g., fever, leukocytosis) and/or does not respond to antibiotics. We report the case of a 75-year-old male who was admitted in the setting of a presumed case of recurrent pneumonia, which had failed to respond to prior antibiotic therapy. Further workup, including transbronchial biopsy, confirmed mucinous adenocarcinoma with a lepidic pattern. This case highlights the importance of establishing a broad differential in the setting of unresolved pneumonia following appropriate antibiotic coverage.

show abstract

Approach to making the availability heuristic less available

Cited by 11 publications

References 13 publications

A Rare Presentation of a Compression Fracture or a Typical Presentation of Lateral Cutaneous Nerve Entrapment Syndrome: A Diagnostic Error?

A Rare Presentation of a Compression Fracture or a Typical Presentation of Lateral Cutaneous Nerve Entrapment Syndrome: A Diagnostic Error?

Institutional injustice: Implications for system transformation emerging from the mental health recovery narratives of people experiencing marginalisation

Recurrent Pneumonia? A Case of Availability Bias and Anchoring

Contact Info

Product

Resources

About