新冠致盲：新冠疫情时代无菌性脑膜炎的延迟诊断
COVID Blindness: Delayed Diagnosis of Aseptic Meningitis in the COVID-19 Era.
作者信息
Harada Taku, Watari Takashi, Miyagami Taiju, Watanuki Satoshi, Shimzu Taro, Hiroshige Juichi
机构信息
Division of General Medicine, Showa University Koto Toyosu Hospital, Toyosu Koto-ku, Japan.
Division of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu-cho, Japan.
出版信息
Eur J Case Rep Intern Med. 2020 Oct 23;7(11):001940. doi: 10.12890/2020_001940. eCollection 2020.
UNLABELLED
Diagnostic errors are a serious problem in healthcare. The diagnostic process is highly susceptible to cognitive bias and the current COVID-19 pandemic may cause normally accurate healthcare workers to make incorrect decisions. We report a case of aseptic meningitis that required five healthcare visits before it was correctly diagnosed. This case highlights the risk of anchoring bias and the importance of carefully assessing diagnostic processes during the COVID-19 pandemic.
LEARNING POINTS
COVID-19 can disrupt the healthcare system and clinical environment and affect diagnosis due to anchoring bias.Healthcare providers should carefully check the COVID-19 illness script to reduce diagnostic errors.Healthcare providers should prepare and practice a diagnostic debiasing strategy during the COVID-19 pandemic.
未标注
诊断错误是医疗保健领域的一个严重问题。诊断过程极易受到认知偏差的影响，当前的新冠疫情可能导致通常准确的医护人员做出错误决策。我们报告一例无菌性脑膜炎病例，该病例在被正确诊断之前需要五次就医。这个病例凸显了锚定偏差的风险以及在新冠疫情期间仔细评估诊断过程的重要性。
学习要点
新冠疫情可能会扰乱医疗系统和临床环境，并因锚定偏差影响诊断。医护人员应仔细核对新冠病情脚本以减少诊断错误。医护人员应在新冠疫情期间准备并实践一种诊断去偏策略。
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