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Stimulus - Learn Tools to Crush It in Your Medical Career

87. Availability Bias | Skewed risk assessments from a pervasive cognitive distortion

Sep 12, 2022
In this episode with guest Justin Morgenstern, the concept of availability bias and its impact on decision making is explored. They discuss the challenges of diagnosing rare, life-threatening conditions and the struggles with understanding low probabilities. The importance of mindful decision-making and the role of cognitive biases in medicine are also discussed.
36:36

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Quick takeaways

  • Recognizing when availability bias is at play is the first step in addressing it and can help identify moments when decisions may be influenced by bias.
  • Creating reminders or checklists for important considerations during patient care can counteract availability bias and ensure crucial steps are not overlooked.

Deep dives

Recognizing and Addressing Availability Bias

Availability bias, a cognitive bias that affects decision-making, can lead to skewed thinking in medical practice. It occurs when the ease with which certain thoughts or diagnoses come to mind influences decision-making. Recognizing when availability bias is at play is the first step in addressing it. Being mindful and monitoring thoughts during patient care can help identify moments when decisions may be influenced by bias. Implementing cognitive stop points, such as intuitive stops for cases that don't match expectations and forced stops during natural lulls in resuscitation, allows for deliberate thinking and a broader differential diagnosis. Using these strategies, practitioners can mitigate the negative impact of availability bias and enhance their decision-making process.

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