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Decision-Making: Fallacies and Other Mistakes

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Part of the book series: International Library of Ethics, Law, and the New Medicine ((LIME,volume 47))

Abstract

Medical methods and decisions are often based on traditional, culture-bound practices, rather than on sound, critical thinking considering consequences. As medical language and practice are influenced by the culture, culture must be critically examined. Decision-making is based on language. It mainly involves the making of causal statements, which are phrased in language and can therefore be no more precise than the language used. Frequent causes of irrational medical thinking and decision-making are analyzed especially fallacies from the claim of certainty where only can be probability and medical and societal un-culture of dealing with mistakes. Five levels of decision-making in medicine are presented: 1. Medical, 2. Ethical, 3. Interdisciplinary, 4. Philosophy of Medicine, and 5. Philosophy in general.

† Deceased

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References

  1. Heiman, G. 1998/2001. Understanding research methods and statistics, 2nd edn. Boston, MA: Houghton-Mifflin.

    Google Scholar 

  2. Maier, B., Akmanlar-Hirscher, G., Krainz, R., Wenger, A., and Staudach, A.. 1999. Der chronische Unterbauchschmerz – ein immer noch zu wenig verstandenes Krankheitsbild. Wiener Medizinische Wochenschrift 149:377–382

    PubMed  CAS  Google Scholar 

  3. Elwood, J. M. 1988. Causal relationships in medicine: A practical system for critical appraisal. Oxford University Press, Oxford

    Google Scholar 

  4. Shibles, W. 1994. The cognitive-emotive theory on desire. Journal of Indian Council of Philosophical Research 11:25–40.

    Google Scholar 

  5. Greenberg, P. 2002. In Causation in law and medicine, eds. Freckelton, J., and Mendelson, D. Hampshire, GB: Ashgate.

    Google Scholar 

  6. Wittgenstein, L. 1969. In On certainty, eds. Anscombe, G., Wright, G., and Paul, D. Anscombe G tr. New York: Harper.

    Google Scholar 

  7. Isenberg, J. S. 2003. Surgical research and the ethics of being first. Journal of Value Inquiry 37:195–203.

    Article  PubMed  Google Scholar 

  8. Lang, R., and Hensrud, D. eds. 2004. Clinical preventative medicine. Chicago, IL: AMA.

    Google Scholar 

  9. Callinan, I. 2002. In Causation in law and medicine, eds. Freckelton, J., and Mendelson, D. Hampshire, GB: Ashgate.

    Google Scholar 

  10. Bingham, R. 2002. Leaving nursing. Health Affairs 21:211–217.

    Article  PubMed  Google Scholar 

  11. Walton, D. 1985. Physician-patient decision-making: A study in medical ethics. Westport, CT: Greenwood.

    Google Scholar 

  12. Waismann, F. 1965. Principles of linguistic philosophy. New York: St Martin`s Press.

    Google Scholar 

  13. Dewey, J. orig.1938/1964. The theory of inquiry. New York: Holt, Rinehart and Winston.

    Google Scholar 

  14. Strodach, G. ed. 1963. The philosophy of Epicurus. Chicago: Northwestern University Press.. See esp. Letter to Menoeceus: 178–195.

    Google Scholar 

  15. Shibles, W. 1993. Majority rule fallacy. Indian Philosophical Quaterly 20:329–347.

    Google Scholar 

  16. Voltaire, F.M. de “Madness” The Works of Voltaire, vol. VI Philosophical Dictionary Part 4 1963/1764.

    Google Scholar 

  17. Patai, D., and Koertge, N. 1994. Professing feminism, 126–131. New York: Basic Books.

    Google Scholar 

  18. Freckelton, I., and Mendelson, D. eds. 2002. Causation in law and medicine. Hampshire, GB: Ashgate.

    Google Scholar 

  19. Dirie, W. 1998. Desert flower. London: Virago Press; Dirie, W. 2002. Desert dawn. London: Virago Press.

    Google Scholar 

  20. Gawande, A. 2002. Complications: A surgeon`s notes on an imperfect science. New York: Picador/Holt. see also www.misdiagnosis.com.

    Google Scholar 

  21. Studdert, D. 2002. What have we learned since the harvard medical practice study? In Medical error. What do we know? What do we do? University of Michigan Forum on health policy, eds. Rosenthal, M. M., and Sutcliffe, K. M. San Francisco: Jersey-Bass, Wiley. See Harvard Study: Kohn, L., Corrigan, J., and Donaldson, M. eds. 1999/2000. To err is human: Building a safer health care system. Washington, DC: National Academic Press.

    Google Scholar 

  22. Wachter, R., and Shojania, K. 2004. Internal bleeding: The truth behind America`s terrifying epidemic of medical mistakes. New York: Rugged Land.

    Google Scholar 

  23. Bogner, M. 2004. Misadventures in health care: Inside stories. New York: Lawrence Earlbaum.

    Google Scholar 

  24. Kohn, L., Corrigan, J., and Donaldson, M. eds. 1999/2000. To err is human: Building a safer health care system. Washington, DC: National Academic Press.

    Google Scholar 

  25. Leape, L. in Levy, D. 1997. Medical mistakes happen too many, AMA poll finds. USA Today, October 10th, 1997.

    Google Scholar 

  26. Hancock, L. 1997. Addressing the “problem doctor”. In Problem doctors: A conspiracy of silence, 153–170. eds. Lens, P., van der Wal, G. Amsterdam: IOS Press.

    Google Scholar 

  27. AARP Bulletin. 2004. 45:1020 www.aarp.org

  28. Ropeik, D., and Gray, G. 2002. Risk. Boston: Houghton Mifflin.

    Google Scholar 

  29. Baldwin, D., Daugherty, S., Tsai, R., and Scotti, M. 2003. A national survey of residents “Self-reported work hours: Thinking beyond speciality.” Academic Medicine 78:1154–1164.

    Article  PubMed  Google Scholar 

  30. Andrews, L., and Hibbert, M. 2000. Courts and wrongful birth: Can disability itself be viewed as a legal wrong? In Americans with disabilities, eds. Pickering, F., and Silvers, A., 318–330. New York: Routledge.

    Google Scholar 

  31. Lapetina, E., and Armstrong, E. 2003. Preventing errors in the outpatient setting: A tale of three states. Health Affairs 21:26–39

    Article  Google Scholar 

  32. Spath, P. 1999. Reducing errors through work system improvements. In Error reduction in health care: a systems approach to improving safety, ed. Spath, P., 199–234. Chicago: American Hospital Association Press.

    Google Scholar 

  33. Graham, I. 2005. Episiotomy rates around the world: An update. Birth 32:219–223.

    Article  PubMed  Google Scholar 

  34. Mitka M. 2004. Is PSA testing still useful? JAMA 292: 2326–2327.

    Article  PubMed  CAS  Google Scholar 

  35. Rosenthal, M., and Sutcliffe, K. eds. 2002. Medical error. What do we know? What do we do? University of Michigan Forum on health policy. Wiley: Jersey-Bass.

    Google Scholar 

  36. Tempelaar, A. 1997. The problem doctor… In Problem doctors: A conspiracy of silence, eds. Lens, P., and van der Wal, G., 31–55. Amsterdam: IOS Press.

    Google Scholar 

  37. Patton, D. 2001. Legal considerations of sleep deprivations among resident physicians. Journal of Health Law 34:377–417.

    PubMed  CAS  Google Scholar 

  38. Myers, K. 2001. Medical errors: causes, cures, and capitalism. Journal of Law and Health 16:255–288.

    PubMed  Google Scholar 

  39. cf. Jones v. Chicago HMO 730 N.E. 2d 1119, Ill 2000.

    Google Scholar 

  40. Henry, L. 2005. Disclosure of medical errors: Ethical considerations for the development of a facility policy and organizational cultural change. Policy, Politics and Nursing Practice 6:127–134.

    Article  Google Scholar 

  41. Fry, D., and Burger, T. 2005. Hand hygiene compliance. OR Insider: 12–15

    Google Scholar 

  42. Miecke, S. 2005. Effects of rotating night shifts: Literature review. Journal of Advanced Nursing 50: 433–439.

    Google Scholar 

  43. www.nejm.org/medicalarticles/medical-intelligence

  44. e-and-c.com/corporateoverview.htm.

    Google Scholar 

  45. Tenorpe, K.E. 2004. The medical malpractice ‘crisis’: Recent trends and the impact of State Toll Reforms. Health Affairs, January 21, 2004 doi:10,1377/healthaff.WA.20

    Google Scholar 

  46. Peters P. 2001. The reasonable physician standard: The new malpractice of care? Journal of Health Law 34:105–119.

    PubMed  Google Scholar 

  47. Studdert, D. 2005. Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. JAMA 293:2609–2617.

    Article  PubMed  CAS  Google Scholar 

  48. IPROB (Intelligent Patient Record for Obstetrics) www.openclinical.org/aisp_iprob.html

  49. Medical Liability Reform – Now! Feb. 5, 2008 http://www.ama.assn.org/go/liabilityreform

  50. The Hartford Courant, 2002, Nov.17.

    Google Scholar 

  51. AARP Bulletin 2006, 47: 11. http://www.aarp.org, AARP Bulletin 2006, 47:11.

    Google Scholar 

  52. Babitsky, St., and Mangraviti, J. 2005. How to become a dangerous expert witness: Advanced techniques and strategies. SEAK: Falmouth, MA.

    Google Scholar 

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Correspondence to Barbara Maier .

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Maier, B., Shibles†, W.A. (2011). Decision-Making: Fallacies and Other Mistakes. In: The Philosophy and Practice of Medicine and Bioethics. International Library of Ethics, Law, and the New Medicine, vol 47. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-8867-3_3

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  • DOI: https://doi.org/10.1007/978-90-481-8867-3_3

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