Cognitive Bias and Diagnostic Errors among Physicians in Japan: A Self-Reflection Survey.
cognitive bias
diagnostic errors
physicians
self-reflection
survey
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
12 04 2022
12 04 2022
Historique:
received:
26
01
2022
revised:
01
04
2022
accepted:
06
04
2022
entrez:
23
4
2022
pubmed:
24
4
2022
medline:
27
4
2022
Statut:
epublish
Résumé
This cross-sectional study aimed to clarify how cognitive biases and situational factors related to diagnostic errors among physicians. A self-reflection questionnaire survey on physicians' most memorable diagnostic error cases was conducted at seven conferences: one each in Okayama, Hiroshima, Matsue, Izumo City, and Osaka, and two in Tokyo. Among the 147 recruited participants, 130 completed and returned the questionnaires. We recruited primary care physicians working in various specialty areas and settings (e.g., clinics and hospitals). Results indicated that the emergency department was the most common setting (47.7%), and the highest frequency of errors occurred during night-time work. An average of 3.08 cognitive biases was attributed to each error. The participants reported anchoring bias (60.0%), premature closure (58.5%), availability bias (46.2%), and hassle bias (33.1%), with the first three being most frequent. Further, multivariate logistic regression analysis for cognitive bias showed that emergency room care can easily induce cognitive bias (adjusted odds ratio 3.96, 95% CI 1.16-13.6,
Identifiants
pubmed: 35457511
pii: ijerph19084645
doi: 10.3390/ijerph19084645
pmc: PMC9032995
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Références
Arch Intern Med. 2005 Jul 11;165(13):1493-9
pubmed: 16009864
BMC Med Educ. 2017 Nov 9;17(1):191
pubmed: 29121903
JAMA. 2010 Sep 15;304(11):1198-203
pubmed: 20841533
Acad Med. 2003 Aug;78(8):775-80
pubmed: 12915363
J Fam Pract. 2018 Jun;67(6):366;368;370;372
pubmed: 29879236
J Gen Intern Med. 2018 Jan;33(1):103-115
pubmed: 28936618
BMJ Qual Saf. 2014 Sep;23(9):727-31
pubmed: 24742777
Diagnosis (Berl). 2018 Sep 25;5(3):135-142
pubmed: 30016277
J Grad Med Educ. 2018 Jun;10(3):345-347
pubmed: 29946399
BMJ Qual Saf. 2013 Dec;22(12):1044-50
pubmed: 23955466
JAMA. 2021 Nov 16;326(19):1905-1906
pubmed: 34709367
N Engl J Med. 2015 Dec 24;373(26):2493-5
pubmed: 26559457
Acad Med. 1999 Oct;74(10 Suppl):S138-43
pubmed: 10536619
Acad Med. 2014 Feb;89(2):285-91
pubmed: 24362387
BMC Med Inform Decis Mak. 2016 Nov 3;16(1):138
pubmed: 27809908
Otolaryngol Clin North Am. 2019 Feb;52(1):35-46
pubmed: 30245040
J R Coll Physicians Edinb. 2018 Sep;48(3):225-232
pubmed: 30191910
BMJ Qual Saf. 2013 Oct;22 Suppl 2:ii58-ii64
pubmed: 23882089
Med Decis Making. 2015 May;35(4):539-57
pubmed: 25145577
Adv Health Sci Educ Theory Pract. 2009 Sep;14 Suppl 1:37-49
pubmed: 19669921
Postgrad Med J. 2021 Feb;97(1144):103-109
pubmed: 32595113
JAMA. 2021 Dec 7;326(21):2127-2128
pubmed: 34792525
Patient Educ Couns. 2022 Jan;105(1):252-256
pubmed: 34045088
Jt Comm J Qual Patient Saf. 2005 Feb;31(2):106-13
pubmed: 15791770
BMJ Open. 2012 Sep 13;2(5):
pubmed: 22983786
BMJ Qual Saf. 2017 Jun;26(6):484-494
pubmed: 27530239
BMJ Qual Saf. 2013 Oct;22 Suppl 2:ii21-ii27
pubmed: 23771902
BMC Med Educ. 2017 Feb 8;17(1):36
pubmed: 28178963
Eur J Intern Med. 2013 Sep;24(6):525-9
pubmed: 23566942
Radiographics. 2018 Jan-Feb;38(1):236-247
pubmed: 29194009
Diagnosis (Berl). 2020 May 26;7(2):107-114
pubmed: 31913847
Acad Med. 2012 Oct;87(10):1361-7
pubmed: 22914511
Eur J Case Rep Intern Med. 2020 Oct 23;7(11):001940
pubmed: 33194872
Acad Med. 2014 Jan;89(1):114-20
pubmed: 24280846