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

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https://www.readbyqxmd.com/read/30316055/apophenia-unconscious-bias-and-reflexivity-in-nursing-qualitative-research
#1
Stephen Buetow
Nurses routinely engage in pattern recognition and interpretation in qualitative research and clinical practice. However, they risk spontaneously perceiving patterns among things that are not meaningfully related. Although all people are prone to this cognitive bias of "apophenia", nurses may be at increased risk because they commonly produce or at least use qualitative research that can be highly interpretive. Qualitative researchers have been silent on the risk of apophenia and hence on exploring how attention to apophenia could help to indicate and manage such unconscious biases...
September 26, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/30265650/system-related-and-cognitive-errors-in-laboratory-medicine
#2
Mario Plebani
Current efforts focusing on better defining the prevalence of diagnostic errors, their causes and remediation strategies should address the role of laboratory testing and its contribution to high-quality care as well as a possible source of diagnostic errors. Data collected in the last few years highlight the vulnerability of extra-analytical phases of the testing cycle and the need for programs aiming to improve all steps of the process. Further studies have clarified the nature of laboratory-related errors, namely the evidence that both system-related and cognitive factors account for most errors in laboratory medicine...
September 28, 2018: Diagnosis
https://www.readbyqxmd.com/read/30231010/blinding-or-information-control-in-diagnosis-could-it-reduce-errors-in-clinical-decision-making
#3
REVIEW
Joseph J Lockhart, Saty Satya-Murti
Background Clinical medicine has long recognized the potential for cognitive bias in the development of new treatments, and in response developed a tradition of blinding both clinicians and patients to address this specific concern. Although cognitive biases have been shown to exist which impact the accuracy of clinical diagnosis, blinding the diagnostician to potentially misleading information has received little attention as a possible solution. Recently, within the forensic sciences, the control of contextual information (i...
September 19, 2018: Diagnosis
https://www.readbyqxmd.com/read/30191910/cognitive-bias-in-clinical-medicine
#4
E D O'Sullivan, S J Schofield
Cognitive bias is increasingly recognised as an important source of medical error, and is both ubiquitous across clinical practice yet incompletely understood. This increasing awareness of bias has resulted in a surge in clinical and psychological research in the area and development of various 'debiasing strategies'. This paper describes the potential origins of bias based on 'dual process thinking', discusses and illustrates a number of the important biases that occur in clinical practice, and considers potential strategies that might be used to mitigate their effect...
September 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/30016277/cognitive-error-in-an-academic-emergency-department
#5
Benjamin H Schnapp, Jean E Sun, Jeremy L Kim, Reuben J Strayer, Kaushal H Shah
No abstract text is available yet for this article.
September 25, 2018: Diagnosis
https://www.readbyqxmd.com/read/30007056/mind-the-overlap-how-system-problems-contribute-to-cognitive-failure-and-diagnostic-errors
#6
Ashwin Gupta, Molly Harrod, Martha Quinn, Milisa Manojlovich, Karen E Fowler, Hardeep Singh, Sanjay Saint, Vineet Chopra
No abstract text is available yet for this article.
September 25, 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
#7
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
#8
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
#9
David Chu, Jane Xiao, Payal Shah, Brett Todd
No abstract text is available yet for this article.
September 25, 2018: Diagnosis
https://www.readbyqxmd.com/read/29614188/diagnostic-reasoning-and-cognitive-biases-of-nurse-practitioners
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
REVIEW
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
#20
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
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