IMreasoning

14/08/2024

We’re starting some mini-lessons!

03/01/2024

12/12/2023

Research shows that when health care professionals work in a collaborative manner, patient satisfaction and outcomes improve.

28/10/2023

When asked about FDA boxed warnings on common antibiotics, the artificial intelligence chatbot tested by investigators too often shared inaccurate information.

18/07/2023

25/08/2022

There's a difference between experience and expertise

20/08/2022

Dear friends in the healthcare space,
Along with some very experienced and award winning colleagues we've created a new consultancy group called Clinical Mentoring Services (clinicalmentoring.net). As a group we've got decades of clinical experience and expertise in clinical reasoning, diagnostic accuracy, metacognition, communication skills, and professional supervision.
If you or someone you know is looking to improve their clinical or communication skills, diagnostic reasoning, or is struggling with burnout and compassion fatigue, please refer them to our website or page where they can learn more about us and get in touch if there's a way we can help. We can work face to face or virtually.
https://fb.watch/f19At3aDMe/

20/07/2022

Hope none of you will be spending time in Auckland Hospital during August, but if you perchance do, look for some amazing poems on exhibit there that will hopefully provide a bit of solace and beauty to all who encounter them. Humbled to be included in this list of wonderful New Zealand poets, including Johanna Emeney and Renee Liang.

https://www.aramanawa.com/projects/2022/poetryinplace

Poetry in place is a collaboration between Auckland DHB and the University of Auckland, sponsored by the A+ Trust. This installation of 24 poems across Auckland City Hospital, Starship, and Greenlane Clinical Center is an exciting opportunity to showcase some of Aotearoa’s best poets, whilst provi...

12/07/2022

Important to know about this!

These devices measure blood oxygen levels and can help identify when patients are dangerously ill. But research shows they can deliver misleading results for people with darker skin.

11/07/2022

To achieve perceptual expertise, you may need more than smarts and hard work. Research suggests there’s a general ability that may help you succeed in jobs that depend...

14/06/2022

Beware the “routine” test…

MRIs done early for uncomplicated low back pain and routine vitamin D tests "just to be thorough" are considered "low-value care" and can lead to further testing that can cost patients thousands.

17/05/2022

Shameful. And if any of us in the medical community think we are beyond the influence (subtle or sometimes not so subtle) of drug companies, we are sadly mistaken.

A trove of documents published as part of a legal settlement offers an unvarnished look inside the financial relationships between pharmaceutical companies and the medical community — from the perspective of drug companies themselves.

14/05/2022

RaDonda Vaught's prosecution was widely condemned by nurses, who said it set a dangerous precedent that would worsen the nursing shortage and make them less forthcoming about admitting mistakes.

03/05/2022

The brain can count small numbers or compare large ones. But it struggles to understand the value of a single large number. This fact may be influencing how people rea...

03/05/2022

How the RaDonda Vaught case threatens patient safety.

01/04/2022

Check out the Australia-NewZealand Diagnostic excellence conference. Two days of very engaging and relevant learning for anyone involved in diagnosis. See the program below.

Program times are in Australian Eastern Daylight Time (AEST) and the program is subject to change. Browse by day: Thursday, 28 April | Friday, 29 April

28/03/2022

More on this tragic story:

Some healthcare providers fear RaDonda Vaught's conviction could set a dangerous precedent for criminalizing errors. Read more at Boston.com.

26/03/2022

New ethical issues are emerging during COVID-19 as doctors struggle with their obligations to ‘do no harm’ and respect patient autonomy.

25/03/2022

Sad follow up to a previous post. How is prison going to help anything or anyone in this case other than perhaps slaking someone’s thirst for revenge? This will have a chilling effect on the movement toward honest disclosure and review of medical errors.

RaDonda Vaught's conviction could lead to years in prison. It's a rare case of a medical mistake being deemed a crime, and many worry it will have a chilling effect on the entire nursing profession.

22/03/2022

This is an example of retributive justice gone mad. Anyone in healthcare knows how easily these errors can happen and how important the role of system failures (e.g. alert fatigue, poor IT designs, and the pressure to work around dysfunctional systems) are in the commission of errors. This is the easy way out of blaming the individual instead of a more nebulous, faceless medical system that has failed. Unless the prosecution intends to show intent this should not be in a CRIMINAL court.

Former nurse RaDonda Vaught is on trial on charges of reckless homicide. Her case raises consequential questions about how nurses use computerized medication-dispensing cabinets.

20/03/2022

Some major clues here…

The family would start to improve but within hours their flu-like symptoms returned. Read more at Boston.com.

17/02/2022

People often try to seem confident and certain in their message so it will be trusted and acted upon. But when information is in flux, research suggests. you should be...

15/02/2022

Interesting... perhaps what we are seeing with a portion of the vaccine hesitant is a mistrust of the healthcare system at large. I wonder how many of the unvaccinated have had bad experiences (or their loved ones) with the healthcare system.

A patient's vaccine hesitancy has taught me a lot about how to best care for people who use drugs — and reinforced how poorly the health care system treats her and others like her.

14/02/2022

Lots of clues here but diagnostic momentum, especially around mental illness, is strong. BEWARE the labels we attach to patients because once applied, they are difficult to remove...

A physician’s gut instinct about a young woman led to a diagnosis that had been overlooked for years. See Boston.com.

14/02/2022

Simplify, simplify, simplify

Communication breakdowns between doctors and their patients have real-life consequences and can result in poorer health outcomes and sicker patients.

25/01/2022

Base rate neglect in the real world: there will be more vaccinated people infected in NZ because there are so many more people who have received their jabs. But correcting for base rates, anti-vaxxers have a MUCH higher rate of infection and hospitalization

The argument it doesn't work because more vaccinated people are in hospital doesn't hold weight.

24/01/2022

A great article on learning (and remembering techniques):

We are not taught how to learn in school, we are taught how to pass tests. The spacing effect is a far more effective way to learn and retain information that works with our brain instead of against it. Find out how to use it here.

19/01/2022

Hello IMreasoning listeners and friends. Some exciting news- at least for us! We are developing an online teaching course for improving clinical reasoning (aimed mostly at medical students and early RMOs to start) and are looking to enlist the help of a medical student or two with some time, enthusiasm, possibly some business or marketing acumen, and attention to detail. If you or anyone you know fits the bill, please get in touch. We'd love to chat!

17/01/2022

An unfortunate diagnostic error. An example of diagnostic anchoring and possibly other cognitive biases

The man turned up to an emergency room seven times in six weeks.

09/12/2021

Not to be too judgemental, but anyone who says of themselves, “I’m a critical thinker” and “I march to the beat of my own drum” is immediately suspect in my book. Sort of like when someone says “I’m not racist but…” you know the next thing out of their mouth will be racist af!

Critical thinking means seeking out new information – especially facts that might run contrary to what you believe – and being willing to change your mind. And it’s a ...