ReviewBMJ quality & safety2015
Role of cognition in generating and mitigating clinical errors.
Review in BMJ quality & safety, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed.
- A novel multimodal, intraoperative cognitive workload assessment of cardiac surgery team members.The Journal of thoracic and cardiovascular surgery · 2025Article
- Article
- Exploring Intraoperative Cognitive Biases in Cardiac Surgery Teams.Applied Human Factors and Ergonomics Conference · 2024Article
- Prediction of Postoperative Deterioration in Cardiac Surgery Patients Using Electronic Health Record and Physiologic Waveform Data.Anesthesiology · 2022Article
- Article
- Classification of Electronic Health Record-Related Patient Safety Incidents: Development and Validation Study.JMIR medical informatics · 2021Article
- Building resiliency in emergency room physicians: anticipating the next catastrophe.BMJ health & care informatics · 2021Article
- The Cognitive Relevance of a Formal Pre-incision Time-out in Surgery.ECCE ... : proceedings of the ... European Conference on Cognitive Ergonomics. European Conference on Cognitive Ergonomics · 2021Article
- Physician Workflow in Two Distinctive Emergency Departments: An Observational Study.Applied clinical informatics · 2021Observational
- Sensors for Continuous Monitoring of Surgeon's Cognitive Workload in the Cardiac Operating Room.Sensors (Basel, Switzerland) · 2020Article
- Article
- First Reported Use of Team Cognitive Workload for Root Cause Analysis in Cardiac Surgery.Seminars in thoracic and cardiovascular surgery · 2019Article
- Efficiency of Emergency Physicians: Insights from an Observational Study using EHR Log Files.Applied clinical informatics · 2018Article
- Learning from errors: analysis of medication order voiding in CPOE systems.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Certainty and safe consequence responses provide additional information from multiple choice question assessments.BMC medical education · 2017Article
- Clinical Information Systems - From Yesterday to Tomorrow.Yearbook of medical informatics · 2016Review
- Technology, cognition and error.BMJ quality & safety · 2015Article
- Cognitive Engineering to Improve Patient Safety and Outcomes in Cardiothoracic Surgery.Seminars in thoracic and cardiovascular surgeryReview
- Analysis of Mirrored Psychophysiological Change of Cardiac Surgery Team Members During Open Surgery.Journal of surgical educationArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Given the complexities of current clinical practice environments, strategies to reduce clinical error must appreciate that error detection and recovery are integral to the function of complex cognitive systems. In this review, while acknowledging that error elimination is an attractive notion, we use evidence to show that enhancing error detection and improving error recovery are also important goals. We further show how departures from clinical protocols or guidelines can yield innovative and appropriate solutions to unusual problems. This review addresses cognitive approaches to the study of human error and its recovery process, highlighting their implications in promoting patient safety and quality. In addition, we discuss methods for enhancing error recognition, and promoting suitable responses, through external cognitive support and virtual reality simulations for the training of clinicians.
Indexed as
Identifiers
25935928What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.