'Difficult' patients more prone to get their diagnosis wrong

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Patients regarded as 'difficult' increase doctors' risk of getting a diagnosis wrong, irrespective of the time spent or the complexity of the case, finds research published online in BMJ Quality & Safety.
This is because the mental effort needed to deal with the problematic behaviour distracts from the task at hand--processing the clinical information correctly--concludes a companion study in the journal.

https://www.sciencedaily.com/releases/2016/03/160314211404.htm

Research paper: http://qualitysafety.bmj.com/content/early/2016/02/09/bmjqs-2015-005065
 
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