REACT: Rapid Evaluation Assessment of Clinical Reasoning Tool

Do intolerance of uncertainty and resource consumption actually influence the therapeutic strategies chosen by physiotherapists?

“…The first hypothesis is based on Kahneman's system 1/system 2 theory, which states that reasoning is based on two systems. Whereas system 1, a fast and heuristic-based system, is suited to situations where patterns can be recognized, system 2, a slower and analytic system, is more suited to situations where it is necessary to step back and think deliberately (Benishek et al, 2015;Cheng & Senathirajah, 2023;Croskerry, 2009;Croskerry & Norman, 2008;Croskerry et al, 2013;Peterson et al, 2022). We believe the easy case probably triggered system 1, as it presented a simple case that physiotherapists encounter regularly and which favoured recognition of a familiar pattern (Nendaz & Perrier, 2012).…”

“…The issue of diagnostic errors has become increasingly prominent among medical institutions over the past few decades (Benishek et al, 2015;Bonilauri Ferreira et al, 2010;Brun et al, 2022b;Croskerry, 2009;Crowley et al, 2013;Graber, 2022;Harada et al, 2021;Iuliucci, 2016;Kourtidis et al, 2022;Makridakis et al, 2019;Mamede et al, 2014;Monteiro et al, 2015;Norman & Eva, 2010;Norman et al, 2017;Olson et al, 2021;Scott et al, 2021;Staal et al, 2021Staal et al, , 2022. This is partly due to the fact that these situations are more common than one would think (Makridakis et al, 2019;Peterson et al, 2022;Schiff et al, 2005;Scott et al, 2021), as up to 35% of physicians and 42% of patients reported such errors (Berner & Graber, 2008) and are mostly preventable (Lee et al, 2022;Staal et al, 2022). Diagnostic errors is an umbrella term that can be commonly defined as "mistakes that result in serious harm, such as death, disability, or additional or prolonged treatment."…”