0000000000496448

AUTHOR

Felix Wicke

showing 2 related works from this author

Lessons in clinical reasoning – pitfalls, myths, and pearls: the contribution of faulty data gathering and synthesis to diagnostic error

2021

Abstract Objectives Errors in clinical reasoning are a major factor for delayed or flawed diagnoses and put patient safety at risk. The diagnostic process is highly dependent on dynamic team factors, local hospital organization structure and culture, and cognitive factors. In everyday decision-making, physicians engage that challenge partly by relying on heuristics – subconscious mental short-cuts that are based on intuition and experience. Without structural corrective mechanisms, clinical judgement under time pressure creates space for harms resulting from systems and cognitive errors. Based on a case-example, we outline different pitfalls and provide strategies aimed at reducing diagnost…

medicine.medical_specialty020205 medical informaticsRespiratory distressbusiness.industryHealth PolicyBiochemistry (medical)Clinical BiochemistryPublic Health Environmental and Occupational HealthMedicine (miscellaneous)Cognition02 engineering and technologyDebiasingCognitive bias03 medical and health sciencesPatient safety0302 clinical medicineHealth care0202 electrical engineering electronic engineering information engineeringmedicine030212 general & internal medicineMedical diagnosisIntensive care medicinebusinessHeuristicsDiagnosis
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A Paravermal Trans-Cerebellar Approach to the Posterior Fossa Tumor Causes Hypertrophic Olivary Degeneration by Dentate Nucleus Injury

2021

Background: In brain tumor surgery, injury to cerebellar connectivity pathways can induce a neurodegenerative disease called hypertrophic olivary degeneration (HOD), along with a disabling clinical syndrome. In children, cerebellar mutism syndrome (CMS) is another consequence of damage to cerebello&ndash

EpendymomaCancer Researchmedicine.medical_specialtyCerebellumcerebellumPosterior fossamedulloblastomalcsh:RC254-282ArticleHOD03 medical and health sciences0302 clinical medicineMedicineneurosurgeryMedulloblastomaPilocytic astrocytomabusiness.industryCMSOlivary degenerationmedicine.diseaselcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogensmedicine.anatomical_structureDentate nucleusOncology030220 oncology & carcinogenesisRadiologyNeurosurgerybusiness030217 neurology & neurosurgerycerebellar mutismCancers
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