Literature DB >> 19667765

Context is everything or how could I have been that stupid?

Pat Croskerry1.   

Abstract

Dual Process Theory provides a useful working model of decision-making. It broadly divides decision-making into intuitive (System 1) and analytical (System 2) processes. System 1 is especially dependent on contextual cues. There appears to be a universal human tendency to contextualize information, mostly in an effort to imbue meaning but also, perhaps, to conserve cognitive energy. Most decision errors occur in System 1, and this has two major implications. The first is that insufficient account may have been taken out of context when the original decision was made. Secondly, in trying to learn from decision failures, we need the highest fidelity of context reconstruction as possible. It should be appreciated that learning from past events is inevitably an imperfect process. Retrospective investigations, such as root-cause analysis, critical incident review, morbidity and mortality rounds and legal investigations, all suffer the limitation that they cannot faithfully reconstruct the context in which decisions were made and from which actions followed.

Entities:  

Mesh:

Year:  2009        PMID: 19667765     DOI: 10.12927/hcq.2009.20945

Source DB:  PubMed          Journal:  Healthc Q        ISSN: 1710-2774


  25 in total

Review 1.  How clinical decisions are made.

Authors:  Louise Bate; Andrew Hutchinson; Jonathan Underhill; Neal Maskrey
Journal:  Br J Clin Pharmacol       Date:  2012-10       Impact factor: 4.335

Review 2.  Cushing's syndrome: why is diagnosis so difficult?

Authors:  David C Aron
Journal:  Rev Endocr Metab Disord       Date:  2010-06       Impact factor: 6.514

3.  Linking Diagnostic Skill Development, Communication, and Empathy Through Art and Observation.

Authors:  Schoen W Kruse; Monica N Kinde
Journal:  Mo Med       Date:  2019 Sep-Oct

4.  Insights into emergency physicians' minds in the seconds before and into a patient encounter.

Authors:  Thierry Pelaccia; Jacques Tardif; Emmanuel Triby; Christine Ammirati; Catherine Bertrand; Bernard Charlin; Valérie Dory
Journal:  Intern Emerg Med       Date:  2015-08-01       Impact factor: 3.397

Review 5.  Evidence and its uses in health care and research: the role of critical thinking.

Authors:  Milos Jenicek; Pat Croskerry; David L Hitchcock
Journal:  Med Sci Monit       Date:  2011-01

6.  Cognitive debiasing 1: origins of bias and theory of debiasing.

Authors:  Pat Croskerry; Geeta Singhal; Sílvia Mamede
Journal:  BMJ Qual Saf       Date:  2013-07-23       Impact factor: 7.035

7.  An analysis of clinical reasoning through a recent and comprehensive approach: the dual-process theory.

Authors:  Thierry Pelaccia; Jacques Tardif; Emmanuel Triby; Bernard Charlin
Journal:  Med Educ Online       Date:  2011-03-14

8.  Cognitive debiasing 2: impediments to and strategies for change.

Authors:  Pat Croskerry; Geeta Singhal; Sílvia Mamede
Journal:  BMJ Qual Saf       Date:  2013-08-30       Impact factor: 7.035

9.  Using eye-tracking augmented cognitive task analysis to explore healthcare professionals' cognition during neonatal resuscitation.

Authors:  Emily C Zehnder; Georg M Schmölzer; Michael van Manen; Brenda H Y Law
Journal:  Resusc Plus       Date:  2021-04-12

10.  Is perception of quality more important than technical quality in patient video cases?

Authors:  Damian Roland; David Matheson; Nick Taub; Tim Coats; Monica Lakhanpaul
Journal:  BMC Med Educ       Date:  2015-08-13       Impact factor: 2.463

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