Confirmation bias
Medicine and health

Cognitive biases are important variables in clinical decision-making by medical general practitioners (GPs) and medical specialists. Two important ones are confirmation bias and the overlapping availability bias. A GP may make a diagnosis early on during an examination, and then seek confirming evidence rather than falsifying evidence. This cognitive error is partly caused by the availability of evidence about the supposed disorder being diagnosed. For example, the client may have mentioned the disorder, or the GP may have recently read a much-discussed paper about the disorder. The basis of this cognitive shortcut or heuristic (termed anchoring) is that the doctor does not consider multiple possibilities based on evidence, but prematurely latches on (or anchors to) a single cause. In emergency medicine, because of time pressure, there is a high density of decision-making, and shortcuts are frequently applied. The potential failure rate of these cognitive decisions needs to be managed by education about the 30 or more cognitive biases that can occur, so as to set in place proper debiasing strategies. Confirmation bias may also cause doctors to perform unnecessary medical procedures due to pressure from adamant patients.
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