keyword
MENU ▼
Read by QxMD icon Read
search

("Cognitive Bias" OR "Cognitive Error") AND ("Medicine" OR "Nursing" OR "Triage" OR "Adverse Outcome")

keyword
https://www.readbyqxmd.com/read/30016277/cognitive-error-in-an-academic-emergency-department
#1
Benjamin H Schnapp, Jean E Sun, Jeremy L Kim, Reuben J Strayer, Kaushal H Shah
Background Medical error is a leading cause of death nationwide. While systems issues have been closely investigated as a contributor to error, little is known about the cognitive factors that contribute to diagnostic error in an emergency department (ED) environment. Methods Eight months of patient revisits within 72 h where patients were admitted on their second visit were examined. Fifty-two cases of confirmed error were identified and classified using a modified version of the Australian Patient Safety Foundation classification system for medical errors by a group of trained physicians...
July 17, 2018: Diagnosis
https://www.readbyqxmd.com/read/30007056/mind-the-overlap-how-system-problems-contribute-to-cognitive-failure-and-diagnostic-errors
#2
Ashwin Gupta, Molly Harrod, Martha Quinn, Milisa Manojlovich, Karen E Fowler, Hardeep Singh, Sanjay Saint, Vineet Chopra
Background Traditionally, research has examined systems- and cognitive-based sources of diagnostic error as individual entities. However, half of all errors have origins in both domains. Methods We conducted a focused ethnography of inpatient physicians at two academic institutions to understand how systems-based problems contribute to cognitive errors in diagnosis. Medicine teams were observed on rounds and during post-round work after which interviews were conducted. Field notes related to the diagnostic process and the work system were recorded, and findings were organized into themes...
July 14, 2018: Diagnosis
https://www.readbyqxmd.com/read/29961004/augmenting-inpatient-treatment-for-post-traumatic-stress-disorder-with-a-computerised-cognitive-bias-modification-procedure-targeting-appraisals-cbm-app-protocol-for-a-randomised-controlled-trial
#3
Marcella L Woud, Simon E Blackwell, Jan C Cwik, Jürgen Margraf, Emily A Holmes, Susann Steudte-Schmiedgen, Stephan Herpertz, Henrik Kessler
INTRODUCTION: Influential theories of post-traumatic stress disorder (PTSD) suggest that dysfunctional appraisals of trauma play a key role in the maintenance of symptoms, and this suggestion is increasingly supported by research. Experimental studies have indicated that a simple computerised cognitive training procedure, here termed cognitive bias modification-appraisals (CBM-App), can modify trauma-relevant appraisals and reduce analogue trauma symptoms among healthy volunteers. This suggests the possibility that CBM-App could improve outcomes in PTSD via targeting the key process of dysfunctional appraisals, for example, if applied as an adjunct to treatment...
June 30, 2018: BMJ Open
https://www.readbyqxmd.com/read/29945569/use-of-a-novel-electronic-maternal-surveillance-system-to-generate-automated-alerts-on-the-labor-and-delivery-unit
#4
Thomas T Klumpner, Joanna A Kountanis, Elizabeth S Langen, Roger D Smith, Kevin K Tremper
BACKGROUND: Maternal early warning systems reduce maternal morbidity. We developed an electronic maternal surveillance system capable of visually summarizing the labor and delivery census and identifying changes in clinical status. Automatic page alerts to clinical providers, using an algorithm developed at our institution, were incorporated in an effort to improve early detection of maternal morbidity. We report the frequency of pages generated by the system. To our knowledge, this is the first time such a system has been used in peripartum care...
June 26, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/29924736/how-common-are-cognitive-errors-in-cases-presented-at-emergency-medicine-resident-morbidity-and-mortality-conferences
#5
David Chu, Jane Xiao, Payal Shah, Brett Todd
BACKGROUND: Cognitive errors are a major contributor to medical error. Traditionally, medical errors at teaching hospitals are analyzed in morbidity and mortality (M&M) conferences. We aimed to describe the frequency of cognitive errors in relation to the occurrence of diagnostic and other error types, in cases presented at an emergency medicine (EM) resident M&M conference. METHODS: We conducted a retrospective study of all cases presented at a suburban US EM residency monthly M&M conference from September 2011 to August 2016...
June 20, 2018: Diagnosis
https://www.readbyqxmd.com/read/29614188/diagnostic-reasoning-and-cognitive-biases-of-nurse-practitioners
#6
Thomas N Lawson
BACKGROUND: Diagnostic reasoning is often used colloquially to describe the process by which nurse practitioners and physicians come to the correct diagnosis, but a rich definition and description of this process has been lacking in the nursing literature. METHOD: A literature review was conducted with theoretical sampling seeking conceptual insight into diagnostic reasoning. RESULTS: Four common themes emerged: Cognitive Biases and Debiasing Strategies, the Dual Process Theory, Diagnostic Error, and Patient Harm...
April 1, 2018: Journal of Nursing Education
https://www.readbyqxmd.com/read/29606650/clinical-dental-faculty-members-perceptions-of-diagnostic-errors-and-how-to-avoid-them
#7
Cathy Nikdel, Kian Nikdel, Ana Ibarra-Noriega, Elsbeth Kalenderian, Muhammad F Walji
Diagnostic errors are increasingly recognized as a source of preventable harm in medicine, yet little is known about their occurrence in dentistry. The aim of this study was to gain a deeper understanding of clinical dental faculty members' perceptions of diagnostic errors, types of errors that may occur, and possible contributing factors. The authors conducted semi-structured interviews with ten domain experts at one U.S. dental school in May-August 2016 about their perceptions of diagnostic errors and their causes...
April 2018: Journal of Dental Education
https://www.readbyqxmd.com/read/29563965/avoiding-diagnostic-errors-in-psychosomatic-medicine-a-case-series-study
#8
Atsuko Koyama, Yoichi Ohtake, Kanae Yasuda, Kiyohiro Sakai, Ryo Sakamoto, Hiromichi Matsuoka, Hirokuni Okumi, Toshiko Yasuda
Background: Non-organic lesions or diseases of unknown origin are sometimes misdiagnosed as "psychogenic" disorders or "psychosomatic" diseases. For the quality of life and safety of patients, recent attention has focused on diagnostic error. The aim of this study was to clarify the factors that affected misdiagnoses in psychosomatic medicine by examining typical cases and to explore strategies that reduce diagnostic errors. Case presentation: The study period was from January 2001 to August 2017...
2018: BioPsychoSocial Medicine
https://www.readbyqxmd.com/read/29536941/exploring-the-sources-and-mechanisms-of-cognitive-errors-in-medical-diagnosis-with-associative-memory-models
#9
Andrés Pomi
BACKGROUND: One of the central challenges of third millennium medicine is the abatement of medical errors. Among the most frequent and hardiest causes of misdiagnosis are cognitive errors produced by faulty medical reasoning. These errors have been analyzed from the perspectives of cognitive psychology and empirical medical studies. We introduce a neurocognitive model of medical diagnosis to address this issue. METHODS: We construct a connectionist model based on the associative nature of human memory to explore the non-analytical, pattern-recognition mode of diagnosis...
November 27, 2017: Diagnosis
https://www.readbyqxmd.com/read/29519593/-i-wouldn-t-really-believe-statistics-challenges-with-influenza-vaccine-acceptance-among-healthcare-workers-in-singapore
#10
Neisha Sundaram, Kathryn Duckett, Chee Fu Yung, Koh Cheng Thoon, Sucitro Sidharta, Indumathi Venkatachalam, Angela Chow, Joanne Yoong
BACKGROUND: Influenza vaccine acceptance among healthcare workers (HCWs) is a worldwide problem, but relatively little research has focussed on Asia, including Singapore. Despite widespread access and recommendations from public health authorities, influenza vaccine uptake remains suboptimal among HCWs. METHODS: Our qualitative study used focus group discussions to identify and explain factors limiting influenza vaccine acceptance among HCWs in Singapore. A total of 73 doctors, nurses, allied health and ancillary staff across three public hospitals were included...
April 5, 2018: Vaccine
https://www.readbyqxmd.com/read/29395527/anti-vaccination-and-pro-cam-attitudes-both-reflect-magical-beliefs-about-health
#11
Gabrielle M Bryden, Matthew Browne, Matthew Rockloff, Carolyn Unsworth
We examined the relationship between complementary and alternative medicine (CAM) use and vaccination scepticism; and specifically whether a person's more general health-related worldview might explain this relationship. A cross-sectional online survey of adult Australians (N = 2697) included demographic, CAM, and vaccination measures, as well as the holistic and magical health belief scales (HHB, MHB). HHB emphasises links between mind and body health, and the impact of general 'wellness' on specific ailments or resistance to disease, whilst MHB specifically taps ontological confusions and cognitive errors about health...
February 21, 2018: Vaccine
https://www.readbyqxmd.com/read/29330163/affective-stimuli-in-behavioural-interventions-soliciting-for-health-check-up-services-and-the-service-users-socioeconomic-statuses-a-study-at-japanese-pachinko-parlours
#12
Naoki Kondo, Yoshiki Ishikawa
Editor's note The study reported in this article examines a health intervention that uses gendered stereotypes of the nursing profession and suggestive uniforms that play on women's sexuality to encourage people to engage in health checkups. The intervention was not under the control of the authors and the study was approved by an institutional research ethics board. The Journal of Epidemiology & Community Health condemns the use of sexism, gender and professional stereotypes and other forms of discriminatory or exploitative behaviour for any purpose, including health promotion programs...
May 2018: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/29243444/-analysis-of-difficult-problems-on-european-union-laws-and-regulations-of-traditional-herbal-medicinal-products
#13
Li-Ping Qu, Xiao-Qun Zhang, Yan Xiong, Yi-Tao Wang, Wen-Jun Zou
Registration of Chinese patent medicine in European Union (EU) is of great significance to the internationalization of traditional Chinese medicine as EU market acts as an important position in the global botanical market. In retrospect, the domestic studies on EU regulations of traditional herbal medicinal products have been conducted for more than 10 years, but there is still some cognitive bias and lack of research. In this paper, a review of the relevant research progress and the main misunderstanding problems about Directive 2004/24/EC, like the centralized and decentralized supervision system of traditional herbal medicinal products in the EU, marketing authorization procedures for traditional herbal medicinal products, Community Herbal Monograph and List Entries, would be systematically analyzed, so as to provide reference for the registration of Chinese patent medicine in EU...
October 2017: Zhongguo Zhong Yao za Zhi, Zhongguo Zhongyao Zazhi, China Journal of Chinese Materia Medica
https://www.readbyqxmd.com/read/29226234/implementation-of-a-clinical-reasoning-course-in-the-internal-medicine-trimester-of-the-final-year-of-undergraduate-medical-training-and-its-effect-on-students-case-presentation-and-differential-diagnostic-skills
#14
Sigrid Harendza, Ingo Krenz, Andreas Klinge, Ulrike Wendt, Matthias Janneck
Background: Clinical reasoning, comprising the processes of clinical thinking, which form the basis of medical decisions, constitutes a central competence in the clinical routine on which diagnostic and therapeutic steps are based. In medical curricula in Germany, clinical reasoning is currently taught explicitly only to a small extend. Therefore, the aim of this project was to develop and implement a clinical reasoning course in the final year of undergraduate medical training. Project description: A clinical reasoning course with six learning units and 18 learning objectives was developed, which was taught by two to four instructors on the basis of 32 paper cases from the clinical practice of the instructors...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/29194009/bias-in-radiology-the-how-and-why-of-misses-and-misinterpretations
#15
Lindsay P Busby, Jesse L Courtier, Christine M Glastonbury
Medical errors are a leading cause of morbidity and mortality in the medical field and are substantial contributors to medical costs. Radiologists play an integral role in the diagnosis and care of patients and, given that those in this field interpret millions of examinations annually, may therefore contribute to diagnostic errors. Errors can be categorized as a "miss" when a primary or critical finding is not observed or as a "misinterpretation" when errors in interpretation lead to an incorrect diagnosis...
January 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/29094402/black-swans-cognition-and-the-power-of-learning-from-failure
#16
Allison S Catalano, Kent Redford, Richard Margoluis, Andrew T Knight
Failure carries undeniable stigma and is difficult to confront for individuals, teams, and organizations. Disciplines such as commercial and military aviation, medicine, and business have long histories of grappling with it, beginning with the recognition that failure is inevitable in every human endeavor. Although conservation may arguably be more complex, conservation professionals can draw on the research and experience of these other disciplines to institutionalize activities and attitudes that foster learning from failure, whether they are minor setbacks or major disasters...
June 2018: Conservation Biology: the Journal of the Society for Conservation Biology
https://www.readbyqxmd.com/read/28857317/the-impact-of-long-work-hours-and-shift-work-on-cognitive-errors-in-nurses
#17
Ann Rhéaume, Jane Mullen
AIM: Pilot study to examine the impact of long work hours and shift work on cognitive errors in nurses. BACKGROUND: Twelve-hour shifts are more commonly used in hospital settings and there is growing concern over the impact that extended and irregular work hours have on nurses' well-being and performance. METHOD: Twenty-eight nurses working different shifts (8-hr days and 12-hr rotation) participated in this study. Nurses were assessed at the beginning of four consecutive shifts using actigraphy, a sleep diary and an after work questionnaire...
January 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/28724568/bet-2-poor-evidence-on-whether-teaching-cognitive-debiasing-or-cognitive-forcing-strategies-lead-to-a-reduction-in-errors-attributable-to-cognition-in-emergency-medicine-students-or-doctors
#18
Govind Oliver, Gopal Oliver, Rick Body
A short review was carried out to see if teaching cognitive forcing strategies reduces cognitive error in the practice of emergency medicine. Two relevant papers were found using the described search strategy. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. There is currently little evidence that teaching cognitive forcing strategies reduces cognitive error in the practice of emergency medicine.
August 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28490292/countering-cognitive-biases-in-minimising-low-value-care
#19
REVIEW
Ian A Scott, Jason Soon, Adam G Elshaug, Robyn Lindner
Cognitive biases in decision making may make it difficult for clinicians to reconcile evidence of overuse with highly ingrained prior beliefs and intuition. Such biases can predispose clinicians towards low value care and may limit the impact of recently launched campaigns aimed at reducing such care. Commonly encountered biases comprise commission bias, illusion of control, impact bias, availability bias, ambiguity bias, extrapolation bias, endowment effects, sunken cost bias and groupthink. Various strategies may be used to counter such biases, including cognitive huddles, narratives of patient harm, value considerations in clinical assessments, defining acceptable levels of risk of adverse outcomes, substitution, reflective practice and role modelling, normalisation of deviance, nudge techniques and shared decision making...
May 15, 2017: Medical Journal of Australia
https://www.readbyqxmd.com/read/28242193/reforming-management-of-behavior-symptoms-and-psychiatric-conditions-in-long-term-care-facilities-a-different-perspective
#20
Steven A Levenson, Abhilash K Desai
Despite much attention including national initiatives, concerns remain about the approaches to managing behavior symptoms and psychiatric conditions across all settings, including in long-term care settings such as nursing homes and assisted living facilities. One key reason why problems persist is because most efforts to "reform" and "correct" the situation have failed to explore or address root causes and instead have promoted inadequate piecemeal "solutions." Further improvement requires jumping off the bandwagon and rethinking the entire issue, including recognizing and applying key concepts of clinical reasoning and the care delivery process to every situation...
April 1, 2017: Journal of the American Medical Directors Association
keyword
keyword
158473
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"