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30 de nov. de 2020 · Premature closure — the acceptance of a diagnosis before it has been objectively established and alternative diagnoses have been fully investigated — is closely related to the framing effect and provides an additional conceptual framework for analyzing this case. 7 In an effort to establish a diagnosis and treatment plan more efficiently, emergency physicians often close on the diagnosis ...
Premature closure is jumping to conclusions. This is one of the most common errors; clinicians make a quick diagnosis (often based on pattern recognition), fail to consider other possible diagnoses, and prematurely stop collecting data. The suspected diagnosis is often not even confirmed by appropriate testing.
A well-developed clinical interview makes it possible to adequately focus the diagnosis. However, cognitive psychology shows that mistakes are made when the persons face complex problems, such as those faced when making a diagnosis, especially if time or resources are limited. The main cause of fail …
1 de abr. de 2013 · More promising would be approaches designed to proactively prevent premature closure in the first place, such as taking a diagnostic time out (a deliberate pause to reassess the working diagnosis before further action is taken—e.g., "why can't this be something else?"). In this case, there was also an interaction between individual physician premature closure and team communication failure ...
1 de abr. de 2013 · The premature closure of diagnoses is one of the main triggers of errors in clinical practice. This, as with cognitive errors, is not random but rather predictable, and it is therefore possible to learn strategies to reduce it as much as possible. Conflicts of interest. The authors declare that they have no conflicts of interest.
On the other hand, the reasoner must be careful to avoid the error, known as premature closure, of accepting a diagnosis before it is fully verified. In the absence of a more rigorous approach to verification, a pragmatic approach adopted in many programs for sequential diagnosis is to discontinue testing when the probability of the leading ...
Premature closure, ie, the failure to continue considering reasonable alternatives after an initial diagnosis was reached, was the single most common cause. Other common causes included faulty context generation, misjudging the salience of findings, faulty perception, and errors arising from the use of heuristics.
