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Thursday, July 22, 2010

What is an Achoring Error?

Anchoring Error (or Bias)

Refers to the common cognitive trap of allowing first impressions to exert undue influence on the diagnostic process. Clinicians often latch on to features of a patient's presentation that suggest a specific diagnosis. Often, this initial diagnostic impression will prove correct, hence the use of the phrase "anchoring heuristic" in some contexts, as it can be a useful rule of thumb to "always trust your first impressions." However, in some cases, subsequent developments in the patient's course will prove inconsistent with the first impression. Anchoring bias refers to the tendency to hold on to the initial diagnosis, even in the face of disconfirming evidence.

1. Redelmeier DA. Improving patient care. The cognitive psychology of missed diagnoses. Ann Intern Med. 2005;142:115-120. [go to PubMed]

2. Croskerry P. Cognitive forcing strategies in clinical decisionmaking. Ann Emerg Med. 2003;41:110-120. [go to PubMed]

3. Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med. 2003;78:775-780. [go to PubMed]

http://www.psnet.ahrq.gov/glossary.aspx#F

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