COVID Blindness: Delayed Diagnosis of Aseptic Meningitis in the COVID-19 Era.
COVID Blindness: Delayed Diagnosis of Aseptic Meningitis in the COVID-19 Era.
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DOI：
10.12890/2020_001940
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发表时间：
2020-01-01
影响因子：
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通讯作者：
Hiroshige, Juichi
中科院分区：
文献类型：
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作者：
Harada, Taku;Watari, Takashi;Hiroshige, Juichi
诊断错误是医疗保健中的一个严重问题。诊断过程极易受到认知偏见的影响，当前的COVID-19大流行可能导致通常准确的卫生保健工作者做出错误的决定。我们报告的无菌性脑膜炎的情况下，需要五次保健访问才被正确诊断。这一案例凸显了锚定偏见的风险，以及在2019冠状病毒病大流行期间仔细评估诊断过程的重要性。学习要点：COVID-19可能会破坏医疗保健系统和临床环境，并由于锚定偏见影响诊断。医疗保健提供者应仔细检查COVID-19疾病脚本，以减少诊断错误。在COVID-19大流行期间，医疗保健提供者应制定并实施诊断消除偏见策略。
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.