A fascinating study in this week's "Science" magazine was able to demonstrate how heuristics (in this case the 'win/stay vs lose/switch' heuristic) contributed to adverse outcomes in delivering babies. (See Singh article, attached).
The editorial that accompanied this by Li and Colby makes the more general point that we can do better ....: "It is time to acknowledge the prevalence of heuristics and decision biases in clinical practice and to view these patterns as predictably human instead of blaming individual doctors. Only then can we start helping doctors improve clinical decisions and, as a result, the health of the public"
Mark L Graber, MD FACP
Founder and President Emeritus, SIDM
Professor Emeritus, Stony Brook University, NY
Cell 919 667-8585
While I'm no obstetrician, I share some of Dr. Westover's concerns. Additionally, I think the following are not addressed by the author and query why this was published in Health Economics rather than in an obstetrical journal, quality and safety journal, etc (most likely because her U Mass web page indicates she's a professor of economics with no visible health care decision-making experience).
Joe Grubenhoff, MD, MSCS (he/him/his) | Associate Professor of Pediatrics
Section of Emergency Medicine | University of Colorado
Medical Director – Diagnostic Safety Program
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