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Medical Teacher Volume 35, 2013 - Issue 6
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Research Article

Effects of the use of differential diagnosis checklist and general de-biasing checklist on diagnostic performance in comparison to intuitive diagnosis

Taro ShimizuNerima Hikarigaoka Hospital, Japan; TARO SHIMIZU, MD, MPH, is an attending physician at Nerima Hikarigaoka Hospital, Tokyo, Japan and he has MPH degree at the Emory University Rollins School of Public Health.
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Kentaro MatsumotoNational Medical Clinic, Japan; KENTARO MATSUMOTO, MD, is an attending physician at National Medical Clinic, Tokyo, Japan.
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Yasuharu TokudaUniversity of Tsukuba, Japan; YASUHARU TOKUDA, MD, MPH, is a Professor of Medicine in University of Tsukuba and the Department Chief, Department of Medicine in Mito Kyodo General Hospital, Ibaraki, Japan and he has MPH degree of Clinical Effectiveness concentration at the Harvard School of Public Health.Correspondence[email protected]
Pages e1218-e1229 | Published online: 11 Dec 2012

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Taro Shimizu. (2023) DECLARE: A Comprehensive, Multifaceted Cognitive Forcing Strategy to Confront Complex Cases. International Journal of General Medicine 16, pages 1505-1511.
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Alisa Küper, Georg Lodde, Elisabeth Livingstone, Dirk Schadendorf & Nicole Krämer. (2023) Mitigating cognitive bias with clinical decision support systems: an experimental study. Journal of Decision Systems 0:0, pages 1-20.
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F. Stuart Leeds, Kareem M. Atwa, Alexander M. Cook, Katharine A. Conway & Timothy N. Crawford. (2020) Teaching heuristics and mnemonics to improve generation of differential diagnoses. Medical Education Online 25:1.
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Takashi Watari, Soshi Takagi, Kota Sakaguchi, Yuji Nishizaki, Taro Shimizu, Yu Yamamoto & Yasuharu Tokuda. (2023) Performance Comparison of ChatGPT-4 and Japanese Medical Residents in the General Medicine In-Training Examination: Comparison Study. JMIR Medical Education 9, pages e52202.
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Luying Yan, Kunal KaramchandaniRobert R. Gaiser & Zyad J. Carr. (2023) Identifying, Understanding, and Minimizing Unconscious Cognitive Biases in Perioperative Crisis Management: A Narrative Review. Anesthesia & Analgesia.
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Travis Haber, Rana S. Hinman, Fiona Dobson, Bill Vicenzino, Ben Darlow, Sam Kayll & Michelle Hall. (2023) Clinical reasoning in managing chronic hip pain: One in two Australian and New Zealand physiotherapists diagnosed a case vignette with clinical criteria for hip OA as hip OA. A cross‐sectional survey. Musculoskeletal Care 21:3, pages 763-775.
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Taro Shimizu & Tow Keang Lim. (2023) “Pivot and Cluster Strategy” in the light of Kahneman’s “Decision Hygiene” template. Diagnosis 10:3, pages 215-217.
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Yukinori Harada, Shusaku Tomiyama, Tetsu Sakamoto, Shu Sugimoto, Ren Kawamura, Masashi Yokose, Arisa Hayashi & Taro Shimizu. (2023) Effects of Combinational Use of Additional Differential Diagnostic Generators on the Diagnostic Accuracy of the Differential Diagnosis List Developed by an Artificial Intelligence–Driven Automated History–Taking System: Pilot Cross-Sectional Study. JMIR Formative Research 7, pages e49034.
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Camille Lakhlifi & Benjamin Rohaut. (2023) Heuristics and biases in medical decision-making under uncertainty: The case of neuropronostication for consciousness disorders. La Presse Médicale 52:2, pages 104181.
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Justine Staal, Robert Zegers, Jeanette Caljouw-Vos, Sílvia Mamede & Laura Zwaan. (2023) Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis 10:2, pages 121-129.
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W. Pisciotta, P. Arina, D. Hofmaenner & M. Singer. (2023) Difficult diagnosis in the ICU : making the right call but beware uncertainty and bias . Anaesthesia 78:4, pages 501-509.
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Arthur Tung & Michael Melchiorre. (2023) Debiasing and Educational Interventions in Medical Diagnosis: A Systematic Review. University of Toronto Medical Journal 100:1.
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Taro Shimizu. (2023) Twelve tips for physicians’ mastering expertise in diagnostic excellence. MedEdPublish 13, pages 21.
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Sílvia Mamede & Henk G. Schmidt. (2022) Deliberate reflection and clinical reasoning: Founding ideas and empirical findings. Medical Education 57:1, pages 76-85.
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Justine Staal, Jacky Hooftman, Sabrina T G Gunput, Sílvia Mamede, Maarten A Frens, Walter W Van den Broek, Jelmer Alsma & Laura Zwaan. (2022) Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. BMJ Quality & Safety 31:12, pages 899-910.
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Matt Sibbald, Sandra Monteiro, Jonathan Sherbino, Andrew LoGiudice, Charles Friedman & Geoffrey Norman. (2022) Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel. BMJ Quality & Safety 31:6, pages 426-433.
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Jawad Al-Khafaji, Ryan F Townshend, Whitney Townsend, Vineet Chopra & Ashwin Gupta. (2022) Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. BMJ Open 12:4, pages e058219.
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Melanie Rogers & Mary Steinke. (2022) An examination of student nurse practitioners' diagnostic reasoning skills. International Journal of Nursing Practice 28:2.
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Taro Shimizu. (2022) System 2 Diagnostic Process for the Next Generation of Physicians: “Inside” and “Outside” Brain—The Interplay between Human and Machine. Diagnostics 12:2, pages 356.
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John E BrushJrJr, Jonathan Sherbino & Geoffrey R Norman. (2022) Diagnostic reasoning in cardiovascular medicine. BMJ, pages e064389.
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J. Staal, J. Alsma, S. Mamede, A. P. J. Olson, G. Prins-van Gilst, S. E. Geerlings, M. Plesac, M. A. Sundberg, M. A. Frens, H. G. Schmidt, W. W. Van den Broek & L. Zwaan. (2021) The relationship between time to diagnose and diagnostic accuracy among internal medicine residents: a randomized experiment. BMC Medical Education 21:1.
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Juliane E. Kämmer, Stefan K. Schauber, Stefanie C. Hautz, Fabian Stroben & Wolf E. Hautz. (2021) Differential diagnosis checklists reduce diagnostic error differentially: A randomised experiment. Medical Education 55:10, pages 1172-1182.
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Hongyun Xu, Benson W. G. Ang, Jian Yi Soh & Gominda G. Ponnamperuma. (2021) Methods to Improve Diagnostic Reasoning in Undergraduate Medical Education in the Clinical Setting: a Systematic Review. Journal of General Internal Medicine 36:9, pages 2745-2754.
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Yukinori Harada, Shinichi Katsukura, Ren Kawamura & Taro Shimizu. (2021) Effects of a Differential Diagnosis List of Artificial Intelligence on Differential Diagnoses by Physicians: An Exploratory Analysis of Data from a Randomized Controlled Study. International Journal of Environmental Research and Public Health 18:11, pages 5562.
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Gino Roberto Corazza, Marco Vincenzo Lenti & Peter David Howdle. (2020) Diagnostic reasoning in internal medicine: a practical reappraisal. Internal and Emergency Medicine 16:2, pages 273-279.
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Justin Morgenstern. 2021. Decision Making in Emergency Medicine. Decision Making in Emergency Medicine 1 7 .
Ian A Scott & Carmel Crock. (2020) Diagnostic error: incidence, impacts, causes and preventive strategies. Medical Journal of Australia 213:7, pages 302.
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Michael S. NirenbergJai SaxelbyRachel VernonWesley Vernon. (2020) The Application of Forensic Podiatry to Clinical Practice. Journal of the American Podiatric Medical Association 110:2.
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Sandra Monteiro, Jonathan Sherbino, Matthew Sibbald & Geoff Norman. (2019) Critical thinking, biases and dual processing: The enduring myth of generalisable skills. Medical Education 54:1, pages 66-73.
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Jerome I Rotgans & Henk G Schmidt. (2019) There is no shortcut to de‐biasing biases. Medical Education 53:11, pages 1064-1066.
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Yasuharu Tokuda. (2019) 3. Introduction of Society to Improve Diagnosis in Medicine (SIDM)3．Society to Improve Diagnosis in Medicine（SIDM）の紹介. Nihon Naika Gakkai Zasshi 108:9, pages 1847-1848.
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Quentin Eichbaum, Brian Adkins, Laura Craig-Owens, Donna Ferguson, Daniel Long, Aaron Shaver & Charles Stratton. (2019) Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. Diagnosis 6:3, pages 249-257.
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Matt Sibbald, Jonathan Sherbino, Jonathan S. Ilgen, Laura Zwaan, Sarah Blissett, Sandra Monteiro & Geoffrey Norman. (2019) Debiasing versus knowledge retrieval checklists to reduce diagnostic error in ECG interpretation. Advances in Health Sciences Education 24:3, pages 427-440.
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Michael Kilian, Jonathan Sherbino, Christopher Hicks & Sandra D. Monteiro. (2019) Understanding diagnosis through ACTion: evaluation of a point-of-care checklist for junior emergency medical residents. Diagnosis 6:2, pages 151-156.
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Benjamin H. Schnapp, Jean E. Sun, Jeremy L. Kim, Reuben J. Strayer & Kaushal H. Shah. (2018) Cognitive error in an academic emergency department. Diagnosis 5:3, pages 135-142.
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ED O'Sullivan & SJ Schofield. (2018) Cognitive Bias in Clinical Medicine. Journal of the Royal College of Physicians of Edinburgh 48:3, pages 225-232.
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Shungo Yamamoto, Yoshiaki Gu, Yumiko Fujitomo, Nobuyuki Kanai, Yoshihiro Yamahata, Hiroyuki Saito, Tadayuki Hashimoto & Norio Ohmagari. (2018) Development and efficacy of a clinician-targeted refresher course for treating nonpneumonia respiratory tract infections. Journal of General and Family Medicine 19:4, pages 127-132.
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Sandra Monteiro, Geoff Norman & Jonathan Sherbino. (2018) The 3 faces of clinical reasoning: Epistemological explorations of disparate error reduction strategies. Journal of Evaluation in Clinical Practice 24:3, pages 666-673.
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Thomas N. Lawson. (2018) Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners. Journal of Nursing Education 57:4, pages 203-208.
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Silvia Mamede & Henk G. Schmidt. (2017) Reflection in Medical Diagnosis: A Literature Review. Health Professions Education 3:1, pages 15-25.
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John E. BrushJr.Jr., Jonathan Sherbino & Geoffrey R. Norman. (2017) How Expert Clinicians Intuitively Recognize a Medical Diagnosis. The American Journal of Medicine 130:6, pages 629-634.
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Geoffrey R. NormanSandra D. MonteiroJonathan SherbinoJonathan S. IlgenHenk G. SchmidtSilvia Mamede. (2017) The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking. Academic Medicine 92:1, pages 23-30.
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Kathryn Ann Lambe, Gary O'Reilly, Brendan D Kelly & Sarah Curristan. (2016) Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. BMJ Quality & Safety 25:10, pages 808-820.
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Yasuharu Tokuda. (2015) Diagnostic Error in Japan : Call for papers!. Journal of General and Family Medicine 16:4, pages 227-228.
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Robert L. Wears. (2014) Diagnosing Diagnosis. Annals of Emergency Medicine 64:6, pages 586-587.
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