Tag Archive for medicine

Anchoring Errors, Background Knowledge, Background Knowledge Errors, Causal Net Problems, Cultural Bias, Diagnostic Errors, Group Decision Errors, Mental Model Traps, Metaphor Mistakes, Misapplication of Problem Solving Strategies, Pipsqueak Articles

Alternative Facts in Medicine

by Olga Werby • January 28, 2017

While we are collectively freaking out over the Trump’s White House use of Alternative Facts, these kinds of “facts” have been floating around in medicine (and politics) for a long time. And it is instructive to take a look at how we as a society have been dealing with Alternative Facts in Medicine and what damage these “facts” have wrought on us individually and collectively. I propose the following formula for how Alternative Facts come to be: Desperate Need + Greed = Alternative Fact Medical Myths: Beliefs Based on Outdated Science To start, allow me to refresh your memory, for our history is full of myths when it comes to our heath and our diseases. Let’s begin with a bit of bloodletting. Bloodletting is almost as old as our civilization. Thousands of years ago (that’s thousands, with three zeros!), a healer’s first choice of treatment was to let out the “excess” blood from a patient. Be it a migraine, an infection, or a virus, a person who was probably too sick to object was cut with a lancet or some other easily available tool and weakened even further via blood loss. The Greek physician Erasistratus believed all illnesses were due…

Commons Assembly: Bridging Health Divides

by Olga Werby • September 28, 2015

Last week was the week the Sage Event—a conference of Sagers (individuals who have been Sage Bionetworks supporters over the years and some new comers) that I have been organizing for the last 5 months. At its core, the idea for this event was the provide an opportunity for Sage Scholars and Sage Mentors to come together and share their projects. These Sagers are incredible people! Below are some of my thinking as it emerged from listening to their presentations. And when the videos become available, I will link to those as well in another post. There were four general themes for the day: 1. ICT and Health; 2. Delivering Health to Hard-to-serve Populations; 3. Rare/Orphan Diseases; and 4. Health, Education, Patient Data, and Advocacy. But the ideas shared at the event were not to be constrained! So allow me to present a very different non-technical view as a way of summarizing ideas that floated during the day. First, allow me to break the science investigations into two parts: • First based on DATA Science—analysis of information available about patients and the environment as coded in medical records or submitted via apps or gathered via sensors. In other words, scientific…

Doctors and Anchoring Errors

by Olga Werby • August 14, 2012

In the past few months, two people I know almost died (one will die very soon) due to medical mistakes. Considering both of these men are well educated and live in America, in major metropolitan areas, with access to a wide variety of experts, and with very supportive family and friends, how can this happen? Tragically enough, their stories are not the exceptions. They fell victim to Anchoring Errors — judgement errors common in situations with lots of stress (e.g. emergency rooms); where many individuals are involved (e.g. a parade of doctors assigned to a patient in a hospital); where there’s inadequate time for problem solving (again, think emergency rooms); and, most importantly, there’s no built-in mechanisms to go back and re-conceptualize the problem, to re-diagnose, and to change the solution in the light of other variables or data. Doctors make mistakes. We ALL do, all the time. But when doctors make it, the prognosis for the patients are sometimes dire. In the cases I’m about to describe, deadly… “How Doctors Think” is an amazing book and one I have given to many of my friends and family and even to my personal physician. It describes way in which even…

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