Affective dispositions to Respond (ADRs) (aka emotional biases)
The full range of affect (or affective) conditions) that may influence decision making, including endogenous affective disorders, emotional dysregulation, countertransferance, fundamental attribution error and ambient/ chronobiological effects.
SOURCES OF ADRs
- Specific affective biases in decision making
e.g. chagrin factor, outcome bias, value bias, status quo bias.
- Ambient, chronological and other factors
- Endogenous affective disorders affecting the physician
e.g. depressive disorders, anxiety disorders, manic disorders
- Emotional dysregulation in physicians
- Unconscious defenses, avoidance, anxiety
- Excessive emotional involvement or detachment
References and Links
- All Doctors are Jackasses (2013)
- CCC – Affective Dispositions to Respond
- CCC – Cognitive Dispositions To Respond
- To Err is Human 001 — Entrapped
- To Err is Human 002 — Are You Satisficed?
- The Breakfast Club
- See For Yourself
- Dispel the Smell from Hell
Journal articles and textbooks
- Croskerry P, Cosby KS, Schenkel SM, Wears RL. Patient Safety in Emergency Medicine. Lippincott Williams & Wilkins, 2009. [Google books preview]
- Croskerry P. Diagnostic Failure: A Cognitive and Affective Approach. In: Henriksen K, Battles JB, Marks ES, Lewin DI, editors. Advances in Patient Safety: From Research to Implementation (Volume 2: Concepts and Methodology). Rockville (MD): Agency for Healthcare Research and Quality (US); 2005 Feb. PubMed PMID: 21249816. [Free Full Text]
Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.
After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education.
He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.
His one great achievement is being the father of three amazing children.
On Twitter, he is @precordialthump.