Muted in Medicine

E13: Why We Get It Wrong - Unpacking Diagnostic Errors(w/Dr Andrew Olson MD)

Saba Fatima MD Season 1 Episode 13

In this conversation, Dr Andrew Olson discusses with host Dr Saba Fatima, the complexities of diagnostic errors in healthcare, emphasizing the importance of understanding the diagnostic process, the role of cognitive biases, and the systemic factors that contribute to errors. He advocates for a culture of feedback and support for healthcare providers, highlighting the need for collaboration and communication within teams. Olson also explores the potential of artificial intelligence to enhance diagnostic accuracy and the importance of a just culture in healthcare. The discussion culminates in a vision for the future of diagnosis, focusing on calibration and continuous improvement.

Dr. Andrew Olson is an Professor of Medicine and Pediatrics at the University of  Minnesota Medical School, where he practices hospital medicine and pediatrics. He serves as the founding Director of the Division of Hospital Medicine and Director of Medical Education Research and Innovation in the Medical Education Outcomes Center, focusing on linking education with clinical and workforce outcomes. Dr. Olson’s academic focus is better understanding clinical reasoning, especially diagnostic reasoning. His research focuses on the interactions between individuals and the clinical environment and how teams make diagnostic decision

keywords
diagnostic error, patient safety, cognitive bias, healthcare system, feedback, medical education, AI in medicine, just culture, systemic factors, peer review


takeaways
The joy in medicine often comes from patient interactions.
Diagnostic errors can have significant implications for patient safety.
Cognitive biases play a crucial role in diagnostic errors.
Feedback is essential for improving diagnostic performance.
Understanding systemic factors is key to addressing diagnostic errors.
Peer review meetings can be beneficial but need to focus on learning.
Support systems for providers after errors are crucial.
AI has the potential to transform diagnostic processes.
A just culture promotes open discussions about errors.
The future of diagnosis will focus on calibration rather than just accuracy.
titles

Chapters
00:00
Introduction to Diagnostic Errors in Medicine
10:25
Factors Contributing to Diagnostic Errors
16:16
Cognitive Biases in Diagnosis
21:59
Systemic Factors Leading to Diagnostic Errors
27:35
Defensive Culture in Medical Conversations
32:46
Teamwork and Collaborative Diagnosis
40:59
Safety II: Learning from Everyday Practices
47:30
The Future of Diagnostic Accuracy
49:38
The Power of Perseverance
50:55

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

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