Send to:

Choose Destination
See comment in PubMed Commons below
AMIA Annu Symp Proc. 2011;2011:1224-32. Epub 2011 Oct 22.

Right diagnosis, wrong care: patient management reasoning errors in emergency care computer-based case simulations.

Author information

  • 1Center for Cognitive Informatics and Decision Making, The University of Texas Health Science Center at Houston, Houston, TX, USA.


The pervasiveness of reasoning errors in emergency care (EC) is commonly acknowledged in clinical research. Much of this work has focused on diagnostic errors; yet, in EC, providing a specific diagnosis is generally secondary to managing the patient. To gain insights into non-diagnostic, treatment-related errors, we presented EC residents with computer-based case simulations and recorded their actions and verbalized thoughts. Nearly all participants diagnosed both study cases correctly yet made a variety of patient management errors, some with serious consequences. More substantial errors could be classified as stemming from incorrect patient status and treatment inferences. These EC reasoning errors are discussed within the framework of underlying cognitive processes.

[PubMed - indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Write to the Help Desk