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pat croskerry

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https://www.readbyqxmd.com/read/29168290/gating-the-holes-in-the-swiss-cheese-part-i-expanding-professor-reason-s-model-for-patient-safety
#1
Shashi S Seshia, G Bryan Young, Michael Makhinson, Preston A Smith, Kent Stobart, Pat Croskerry
INTRODUCTION: Although patient safety has improved steadily, harm remains a substantial global challenge. Additionally, safety needs to be ensured not only in hospitals but also across the continuum of care. Better understanding of the complex cognitive factors influencing health care-related decisions and organizational cultures could lead to more rational approaches, and thereby to further improvement. HYPOTHESIS: A model integrating the concepts underlying Reason's Swiss cheese theory and the cognitive-affective biases plus cascade could advance the understanding of cognitive-affective processes that underlie decisions and organizational cultures across the continuum of care...
February 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28929843/cognitive-bias-in-health-leaders
#2
Samuel G Campbell, Pat Croskerry, David A Petrie
Cognitive bias can be a serious impediment to rational decision-making by health leaders. We use a hypothetical case study to introduce some basic concepts of bias with examples of mitigation strategies. We argue that the effect of biases should be considered when making every significant administrative decision.
September 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28742552/more-on-the-causes-of-errors-in-clinical-reasoning
#3
Pat Croskerry
No abstract text is available yet for this article.
August 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/26862116/our-better-angels-and-black-boxes
#4
EDITORIAL
Pat Croskerry
No abstract text is available yet for this article.
April 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/26077213/when-i-say%C3%A2-cognitive-debiasing
#5
Pat Croskerry
No abstract text is available yet for this article.
July 2015: Medical Education
https://www.readbyqxmd.com/read/25544999/in-reply-to-webster
#6
LETTER
Pat Croskerry, David A Petrie, James B Reilly, Gordon Tait
No abstract text is available yet for this article.
January 2015: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/25160829/in-reply-to-norman-et-al-and-to-ilgen-et-al
#7
LETTER
Pat Croskerry, David A Petrie, James B Reilly, Gordon Tait
No abstract text is available yet for this article.
September 2014: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/24423996/ed-cognition-any-decision-by-anyone-at-any-time
#8
Pat Croskerry
No abstract text is available yet for this article.
January 2014: CJEM
https://www.readbyqxmd.com/read/24362398/deciding-about-fast-and-slow-decisions
#9
COMMENT
Pat Croskerry, David A Petrie, James B Reilly, Gordon Tait
Two reports in this issue address the important topic of clinical decision making. Dual process theory has emerged as the dominant model for understanding the complex processes that underlie human decision making. This theory distinguishes between the reflexive, autonomous processes that characterize intuitive decision making and the deliberate reasoning of an analytical approach. In this commentary, the authors address the polarization of viewpoints that has developed around the relative merits of the two systems...
February 2014: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/23996094/cognitive-debiasing-2-impediments-to-and-strategies-for-change
#10
Pat Croskerry, Geeta Singhal, Sílvia Mamede
In a companion paper, we proposed that cognitive debiasing is a skill essential in developing sound clinical reasoning to mitigate the incidence of diagnostic failure. We reviewed the origins of cognitive biases and some proposed mechanisms for how debiasing processes might work. In this paper, we first outline a general schema of how cognitive change occurs and the constraints that may apply. We review a variety of individual factors, many of them biases themselves, which may be impediments to change. We then examine the major strategies that have been developed in the social sciences and in medicine to achieve cognitive and affective debiasing, including the important concept of forcing functions...
October 2013: BMJ Quality & Safety
https://www.readbyqxmd.com/read/23958723/ed-cognition-any-decision-by-anyone-at-any-time
#11
Pat Croskerry
No abstract text is available yet for this article.
2013: CJEM
https://www.readbyqxmd.com/read/23882089/cognitive-debiasing-1-origins-of-bias-and-theory-of-debiasing
#12
Pat Croskerry, Geeta Singhal, Sílvia Mamede
Numerous studies have shown that diagnostic failure depends upon a variety of factors. Psychological factors are fundamental in influencing the cognitive performance of the decision maker. In this first of two papers, we discuss the basics of reasoning and the Dual Process Theory (DPT) of decision making. The general properties of the DPT model, as it applies to diagnostic reasoning, are reviewed. A variety of cognitive and affective biases are known to compromise the decision-making process. They mostly appear to originate in the fast intuitive processes of Type 1 that dominate (or drive) decision making...
October 2013: BMJ Quality & Safety
https://www.readbyqxmd.com/read/23802513/from-mindless-to-mindful-practice-cognitive-bias-and-clinical-decision-making
#13
Pat Croskerry
New England Journal of Medicine, Volume 368, Issue 26, Page 2445-2448, June 2013.
June 27, 2013: New England Journal of Medicine
https://www.readbyqxmd.com/read/22874447/perspectives-on-diagnostic-failure-and-patient-safety
#14
REVIEW
Pat Croskerry
No abstract text is available yet for this article.
2012: Healthcare Quarterly
https://www.readbyqxmd.com/read/21955412/consensus-on-paramedic-clinical-decisions-during-high-acuity-emergency-calls-results-of-a-canadian-delphi-study
#15
Jan L Jensen, Pat Croskerry, Andrew H Travers
OBJECTIVES: To establish consensus on the most important clinical decisions paramedics make during high-acuity emergency calls and to visualize these decisions on a process map of an emergency call. A secondary objective was to measure agreement among paramedics and medical director panel members. METHODS: A multiround online survey of Canadian paramedics and medical directors. In round 1, participants listed important clinical decisions. In round 2, participants scored each decision in terms of its importance for patient outcome and safety...
September 2011: CJEM
https://www.readbyqxmd.com/read/21500605/emotional-influences-in-patient-safety
#16
REVIEW
Pat Croskerry, Allan Abbass, Albert W Wu
OBJECTIVE: The way that health care providers feel, both within themselves and toward their patients, may influence their clinical performance and impact patient safety, yet this aspect of provider behavior has received relatively little attention. How providers feel, their emotional or affective state, may exert a significant, unintended influence on their patients, and may compromise safety. METHODS: We examined a broad literature across multiple disciplines to review the interrelationships between emotion, decision making, and behavior, and to assess their potential impact on patient safety...
December 2010: Journal of Patient Safety
https://www.readbyqxmd.com/read/21248608/checklists-to-reduce-diagnostic-errors
#17
John W Ely, Mark L Graber, Pat Croskerry
Diagnostic errors are common and can often be traced to physicians' cognitive biases and failed heuristics (mental shortcuts). A great deal is known about how these faulty thinking processes lead to error, but little is known about how to prevent them. Faulty thinking plagues other high-risk, high-reliability professions, such as airline pilots and nuclear plant operators, but these professions have reduced errors by using checklists. Recently, checklists have gained acceptance in medical settings, such as operating rooms and intensive care units...
March 2011: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/21191201/commentary-lowly-interns-more-is-merrier-and-the-casablanca-strategy
#18
COMMENT
Pat Croskerry
Test ordering is an integral part of clinical decision making. Variation in test-ordering behavior appears to reflect uncertainty in the clinical reasoning and decision-making process. Among decision makers, novices function mostly in the analytic mode of reasoning, experiencing high levels of uncertainty and, therefore, account for the most variance. While less discriminate test ordering has both economical and clinical downsides, it nevertheless remains a rite of passage along the road toward expertise. In response to the article by Iwashyna and colleagues, the author of this commentary reflects on the implications of test-ordering behavior in the academic medicine setting...
January 2011: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/21169920/evidence-and-its-uses-in-health-care-and-research-the-role-of-critical-thinking
#19
REVIEW
Milos Jenicek, Pat Croskerry, David L Hitchcock
Obtaining and critically appraising evidence is clearly not enough to make better decisions in clinical care. The evidence should be linked to the clinician's expertise, the patient's individual circumstances (including values and preferences), and clinical context and settings. We propose critical thinking and decision-making as the tools for making that link. Critical thinking is also called for in medical research and medical writing, especially where pre-canned methodologies are not enough. It is also involved in our exchanges of ideas at floor rounds, grand rounds and case discussions; our communications with patients and lay stakeholders in health care; and our writing of research papers, grant applications and grant reviews...
January 2011: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/20231338/to-err-is-human-and-let-s-not-forget-it
#20
Pat Croskerry
No abstract text is available yet for this article.
March 23, 2010: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
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