Desaturation during the pandemic: Covid or cognitive bias?

The coronavirus pandemic has put an unprecedented strain on our health care system. An urgent need for timely and accurate diagnosis coupled with an inordinate caseload and myriad overlapping signs and symptoms with other differentials is leaving physicians fatigued. This often leads to the use of m...

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Main Authors: Ritika Nangia, Chetna Arvind Sethi, Niharika Dhiman
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=11;spage=7466;epage=7468;aulast=Nangia
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author Ritika Nangia
Chetna Arvind Sethi
Niharika Dhiman
author_facet Ritika Nangia
Chetna Arvind Sethi
Niharika Dhiman
author_sort Ritika Nangia
collection DOAJ
description The coronavirus pandemic has put an unprecedented strain on our health care system. An urgent need for timely and accurate diagnosis coupled with an inordinate caseload and myriad overlapping signs and symptoms with other differentials is leaving physicians fatigued. This often leads to the use of mental shortcuts – “heuristics” by the strained mind and the inadvertent use of intuitive thought processes rather than the more controlled analytical thinking to cope and speed up the decision-making process. Availability bias – making a recent or vivid patient diagnosis more readily accessible to the mind – and anchoring bias – relying too heavily on a single symptom for deducing diagnosis – are among the most prevalent cognitive biases. Therefore, it is not unexpected that any new cases of acute onset respiratory illness may be mis-diagnosed as coronavirus disease 2019 during the pandemic, significantly impacting the morbidity and mortality of true diagnosis. To reduce the risk of patient harm, it is therefore imperative that medical practitioners be aware of the existence and influence of cognitive bias in clinical decision making and maintain sight of a variety of differential diagnoses to ensure that no adverse condition is overlooked.
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spelling doaj.art-15d46b6d1af34c37a5886a2f3e66682a2023-01-12T12:42:33ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-0111117466746810.4103/jfmpc.jfmpc_833_22Desaturation during the pandemic: Covid or cognitive bias?Ritika NangiaChetna Arvind SethiNiharika DhimanThe coronavirus pandemic has put an unprecedented strain on our health care system. An urgent need for timely and accurate diagnosis coupled with an inordinate caseload and myriad overlapping signs and symptoms with other differentials is leaving physicians fatigued. This often leads to the use of mental shortcuts – “heuristics” by the strained mind and the inadvertent use of intuitive thought processes rather than the more controlled analytical thinking to cope and speed up the decision-making process. Availability bias – making a recent or vivid patient diagnosis more readily accessible to the mind – and anchoring bias – relying too heavily on a single symptom for deducing diagnosis – are among the most prevalent cognitive biases. Therefore, it is not unexpected that any new cases of acute onset respiratory illness may be mis-diagnosed as coronavirus disease 2019 during the pandemic, significantly impacting the morbidity and mortality of true diagnosis. To reduce the risk of patient harm, it is therefore imperative that medical practitioners be aware of the existence and influence of cognitive bias in clinical decision making and maintain sight of a variety of differential diagnoses to ensure that no adverse condition is overlooked.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=11;spage=7466;epage=7468;aulast=Nangiaanchoring biasavailability biascognitive biasheuristics
spellingShingle Ritika Nangia
Chetna Arvind Sethi
Niharika Dhiman
Desaturation during the pandemic: Covid or cognitive bias?
Journal of Family Medicine and Primary Care
anchoring bias
availability bias
cognitive bias
heuristics
title Desaturation during the pandemic: Covid or cognitive bias?
title_full Desaturation during the pandemic: Covid or cognitive bias?
title_fullStr Desaturation during the pandemic: Covid or cognitive bias?
title_full_unstemmed Desaturation during the pandemic: Covid or cognitive bias?
title_short Desaturation during the pandemic: Covid or cognitive bias?
title_sort desaturation during the pandemic covid or cognitive bias
topic anchoring bias
availability bias
cognitive bias
heuristics
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=11;spage=7466;epage=7468;aulast=Nangia
work_keys_str_mv AT ritikanangia desaturationduringthepandemiccovidorcognitivebias
AT chetnaarvindsethi desaturationduringthepandemiccovidorcognitivebias
AT niharikadhiman desaturationduringthepandemiccovidorcognitivebias