Commentary COVID blindness. Citation Text: Brown L. COVID blindness, Diagnosis (Berl). 2020;7(2):83-84. doi: 10.1515/dx-2020-0042 Copy Citation Format: Google ScholarDOIBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL August 5, 2020 Brown L. Diagnosis (Berl). 2020;7(2):83-84. View more articles from the same authors. This editorial describes one clinician’s experience treating a patient during the early stages of the COVID-19 pandemic, and the impacts of “COVID blindness” and anchoring bias, which resulted in delayed sepsis treatment for this patient. PubMed citation Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Brown L. COVID blindness, Diagnosis (Berl). 2020;7(2):83-84. doi: 10.1515/dx-2020-0042 Copy Citation Format: Google ScholarDOIBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) COVID-19: making the right diagnosis. August 5, 2020 Narrowing the mindware gap in medicine. July 20, 2022 The COVID trap: pediatric diagnostic errors in a pandemic world. August 25, 2021 Patient perceptions of misdiagnosis of endometriosis: results from an online national survey. July 29, 2020 Operational measurement of diagnostic safety: state of the science. October 7, 2020 How insight contributes to diagnostic excellence. September 21, 2022 Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. June 2, 2021 Understanding context specificity: the effect of contextual factors on clinical reasoning. September 2, 2020 Improving diagnosis: adding context to cognition. September 7, 2022 Bringing the clinical laboratory into the strategy to advance diagnostic excellence. September 22, 2021 Diagnostic delays in infectious diseases. September 28, 2022 Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. September 8, 2021 Identifying trigger concepts to screen emergency department visits for diagnostic errors. December 16, 2020 A clinical reasoning curriculum for medical students: an interim analysis. June 22, 2022 Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. February 23, 2022 A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. July 14, 2021 Clinical reasoning in the wild: premature closure during the COVID-19 pandemic. August 19, 2020 An estimate of missed pediatric sepsis in the emergency department. June 2, 2021 A pause in pediatrics: implementation of a pediatric diagnostic time-out. September 14, 2022 A survey of outpatient internal medicine clinician perceptions of diagnostic error. February 5, 2020 Emergency medicine physicians' perspectives on diagnostic accuracy in neurology: a qualitative study. July 6, 2022 Analyzing diagnostic errors in the acute setting: a process-driven approach. October 20, 2021 Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. September 9, 2020 Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. January 11, 2023 Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study. December 15, 2021 Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department. July 6, 2022 From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme. June 15, 2022 The effects of rudeness, experience, and perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong diagnosis: a randomized controlled simulation trial. December 9, 2020 Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method. August 19, 2020 Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. September 15, 2021 Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods. July 21, 2021 Improving diagnostic decision support through deliberate reflection: a proposal. November 9, 2022 Automated identification of diagnostic labelling errors in medicine. June 8, 2022 Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research opportunities. October 19, 2022 Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. May 12, 2021 Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure. December 21, 2022 Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. May 1, 2020 Human centered design workshops as a meta-solution to diagnostic disparities. November 2, 2022 Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology. December 8, 2021 Bad things can happen: are medical students aware of patient centered care and safety? January 25, 2023 The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. October 26, 2022 A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts. December 7, 2022 Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. February 16, 2022 For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths. August 19, 2020 Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. March 31, 2021 Health Professions Education. June 12, 2019 A call to action: next steps to advance diagnosis education in the health professions. June 8, 2022 How physicians think: a case-based diagnostic simulation exercise. September 16, 2020 COVID-19: The Diagnostic Challenge. November 25, 2020 Nursing turbulence in critical care: relationships with nursing workload and patient safety. May 27, 2020 Ethical challenges in child abuse: what is the harm of a misdiagnosis? June 9, 2021 Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. June 24, 2020 Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. August 26, 2020 Children and the opioid epidemic: age-stratified exposures and harms. October 21, 2020 Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study. October 21, 2020 Frontiers in measuring structural racism and its health effects. September 21, 2022 Novel telephone-based interactive voice response system for incident reporting. November 17, 2021 Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. November 18, 2020 Cognitive bias and public health policy during the COVID-19 pandemic. July 22, 2020 The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. June 2, 2021 Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. February 2, 2011 Diagnostic error as a result of drug-laboratory test interactions. March 6, 2019 The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. July 15, 2020 COVID-19: to be or not to be; that is the diagnostic question. July 8, 2020 Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review. May 12, 2021 A blueprint for leadership during COVID-19. August 12, 2020 A bottom-up approach addressing patient care and differential diagnosis amidst the Covid-19 response. October 14, 2020 The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. July 6, 2022 Disaster ergonomics: human factors in COVID-19 pandemic emergency management. August 19, 2020 How long and how much are nurses now working? April 19, 2006 Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019. July 29, 2020 U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. June 17, 2015 The pharmacist-physician relationship in the detection of ambulatory medication errors. January 31, 2006 Prevalence, nature and predictors of omitted medication doses in mental health hospitals: a multi-centre study. March 11, 2020 Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive bias in the COVID-19 era. August 12, 2020 Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study. October 28, 2020 Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. November 9, 2022 Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. September 29, 2021 Guide to Patient and Family Engagement: Environmental Scan Report. June 27, 2012 What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. January 23, 2019 The impact of the COVID-19 pandemic on Emergency Department visits and patient safety in the United States. August 26, 2020 Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. July 22, 2020 Human factors and ergonomics at time of crises: the Italian experience coping with COVID19. July 22, 2020 Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review. June 14, 2017 Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. December 22, 2021 COVID-19 pandemic: a time for collaboration and a unified global health front. August 12, 2020 A blinded, prospective study of error detection during physician chart rounds in radiation oncology. October 14, 2020 Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. January 12, 2022 Radio frequency identification applications in hospital environments. August 16, 2006 COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. August 19, 2020 The challenges and opportunities for shared decision making highlighted by COVID-19. August 12, 2020 The scientific literature on Coronaviruses, COVID-19 and its associated safety-related research dimensions: a scientometric analysis and scoping review. July 15, 2020 Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. August 12, 2020 Supporting the emotional well-being of health care workers during the COVID-19 pandemic. August 5, 2020 Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era. July 22, 2020 Effect of social influences on pharmacists' intention to report adverse drug events. October 17, 2012 Is there a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities. August 12, 2020 The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - a systematic review and meta-analysis. July 15, 2020 Identifying risk in the use of tumor markers to improve patient safety. May 4, 2016 Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year period. June 30, 2021 View More Related Resources Annual Perspective Improving Diagnostic Safety and Quality April 26, 2023 Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. April 12, 2023 Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. February 22, 2023 How should clinicians minimize bias when responding to suspicions about child abuse? February 22, 2023 Diagnostic delays among COVID-19 patients with a second concurrent diagnosis. February 22, 2023 Using community detection techniques to identify themes in COVID-19-related patient safety event reports. December 7, 2022 The Lancet Commission on lessons for the future from the COVID-19 pandemic. October 12, 2022 Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. September 14, 2022 Sixty seconds on . . . medical gaslighting. September 14, 2022 Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review. August 24, 2022 Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. May 11, 2022 Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care. March 23, 2022 Remote patient monitoring during COVID-19: an unexpected patient safety benefit. March 23, 2022 Ambulatory virtual care during a pandemic: patient safety considerations. March 9, 2022 Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. February 23, 2022 Health care safety during the pandemic and beyond--building a system that ensures resilience. February 23, 2022 The abrupt expansion of ambulatory telemedicine: implications for patient safety. February 9, 2022 Using smart IV infusion pumps outside of patient rooms. February 2, 2022 Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. January 12, 2022 Patient Safety Primers Coronavirus Disease 2019 (COVID-19) and Diagnostic Error January 11, 2022 Patient, surgeon, and health care worker safety during the COVID-19 pandemic. November 3, 2021 A crisis within a crisis. September 15, 2021 The COVID trap: pediatric diagnostic errors in a pandemic world. August 25, 2021 COVID-19 and open notes: a new method to enhance patient safety and trust. July 7, 2021 Patient safety in dermatology: a ten-year update. June 23, 2021 Machine learning is booming in medicine. It’s also facing a credibility crisis. June 16, 2021 The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. June 2, 2021 Doctors were sure they had Covid-19. The reality was worse. May 5, 2021 Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic. April 21, 2021 Patient safety and quality improvement adaptation during the COVID-19 pandemic. April 21, 2021 View More See More About The Topic Hospitals Health Care Providers Public Health Infectious Diseases Clinical Misdiagnosis View More
Patient perceptions of misdiagnosis of endometriosis: results from an online national survey. July 29, 2020
Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. June 2, 2021
Understanding context specificity: the effect of contextual factors on clinical reasoning. September 2, 2020
Bringing the clinical laboratory into the strategy to advance diagnostic excellence. September 22, 2021
Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. September 8, 2021
Identifying trigger concepts to screen emergency department visits for diagnostic errors. December 16, 2020
Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. February 23, 2022
Emergency medicine physicians' perspectives on diagnostic accuracy in neurology: a qualitative study. July 6, 2022
Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. September 9, 2020
Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. January 11, 2023
Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study. December 15, 2021
Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department. July 6, 2022
From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme. June 15, 2022
The effects of rudeness, experience, and perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong diagnosis: a randomized controlled simulation trial. December 9, 2020
Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method. August 19, 2020
Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. September 15, 2021
Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods. July 21, 2021
Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research opportunities. October 19, 2022
Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. May 12, 2021
Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure. December 21, 2022
Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. May 1, 2020
Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology. December 8, 2021
Bad things can happen: are medical students aware of patient centered care and safety? January 25, 2023
The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. October 26, 2022
A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts. December 7, 2022
Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. February 16, 2022
For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths. August 19, 2020
Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. March 31, 2021
Nursing turbulence in critical care: relationships with nursing workload and patient safety. May 27, 2020
Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. June 24, 2020
Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study. October 21, 2020
The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. June 2, 2021
Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. February 2, 2011
The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. July 15, 2020
Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review. May 12, 2021
A bottom-up approach addressing patient care and differential diagnosis amidst the Covid-19 response. October 14, 2020
The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. July 6, 2022
Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019. July 29, 2020
U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. June 17, 2015
The pharmacist-physician relationship in the detection of ambulatory medication errors. January 31, 2006
Prevalence, nature and predictors of omitted medication doses in mental health hospitals: a multi-centre study. March 11, 2020
Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive bias in the COVID-19 era. August 12, 2020
Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study. October 28, 2020
Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. November 9, 2022
Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. September 29, 2021
What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. January 23, 2019
The impact of the COVID-19 pandemic on Emergency Department visits and patient safety in the United States. August 26, 2020
Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. July 22, 2020
Human factors and ergonomics at time of crises: the Italian experience coping with COVID19. July 22, 2020
Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review. June 14, 2017
Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. December 22, 2021
A blinded, prospective study of error detection during physician chart rounds in radiation oncology. October 14, 2020
Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. January 12, 2022
COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. August 19, 2020
The scientific literature on Coronaviruses, COVID-19 and its associated safety-related research dimensions: a scientometric analysis and scoping review. July 15, 2020
Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. August 12, 2020
Supporting the emotional well-being of health care workers during the COVID-19 pandemic. August 5, 2020
Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era. July 22, 2020
Effect of social influences on pharmacists' intention to report adverse drug events. October 17, 2012
Is there a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities. August 12, 2020
The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - a systematic review and meta-analysis. July 15, 2020
Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year period. June 30, 2021
Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. April 12, 2023
Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. February 22, 2023
How should clinicians minimize bias when responding to suspicions about child abuse? February 22, 2023
Using community detection techniques to identify themes in COVID-19-related patient safety event reports. December 7, 2022
Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. September 14, 2022
Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. May 11, 2022
Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care. March 23, 2022
Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. February 23, 2022
Health care safety during the pandemic and beyond--building a system that ensures resilience. February 23, 2022
The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. June 2, 2021
Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic. April 21, 2021