ReviewThe western journal of emergency medicine2020
Review of the Basics of Cognitive Error in Emergency Medicine: Still No Easy Answers.
Review in The western journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.BMJ quality & safety · 2022Pooled it
- The Disposition Decision: A Qualitative Study of Swedish Emergency Physicians' Objectives Through a Value-Focused Thinking Analysis.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
- Article
- Cognitive Biases in Early Trauma Transfusions: Lessons From Three Rare Cases of Acute Hemolytic Reaction.Clinical case reports · 2026Article
- Understanding cognitive errors in clinical decision-making: a Q methodology approach.BMC medical education · 2026Article
- Diagnostic Pitfalls and Management of Transphyseal Fractures of the Distal Humerus: A Retrospective Review of 25 Cases.Children (Basel, Switzerland) · 2026Article
- Teaching common cognitive biases and associated errors in veterinary neurologic diagnosis using clinical vignettes: a narrative review.Frontiers in veterinary science · 2026Review
- Article
- Multisite study using a customised NLP model to predict disposition in the emergency department: protocol paper.BMJ health & care informatics · 2025Article
- Cognitive Frame and Time Pressure as Moderators Of Clinical Reasoning: A Case Control Study.The western journal of emergency medicine · 2025Article
- Article
- Specialist and general emergency room: from "A to Z" case series of possible misdiagnosis due to the influence of gender.Journal of the Turkish German Gynecological Association · 2024Article
- The Dunning‒Kruger effect in resident predicted and actual performance on the American Board of Emergency Medicine in-training examination.Journal of the American College of Emergency Physicians open · 2024Article
- ChatGPT With GPT-4 Outperforms Emergency Department Physicians in Diagnostic Accuracy: Retrospective Analysis.Journal of medical Internet research · 2024Article
- Impact of emotional competence on physicians' clinical reasoning: a scoping review protocol.BMJ open · 2023Article
- Exploring Knowledge of Cognitive Disposition to Respond in Clinical Decision-Making among Early Clinical Learners.Maedica · 2023Article
- Desaturation during the pandemic: Covid or cognitive bias?Journal of family medicine and primary care · 2022Article
- Automated fracture screening using an object detection algorithm on whole-body trauma computed tomography.Scientific reports · 2022Article
- A Scoping Review of Integrated Medical Devices and Clinical Decision Support in the Acute Care Setting.Applied clinical informatics · 2022Article
- Cognitive biases encountered by physicians in the emergency room.BMC emergency medicine · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Emergency physicians (EP) make clinical decisions multiple times daily. In some instances, medical errors occur due to flaws in the complex process of clinical reasoning and decision-making. Cognitive error can be difficult to identify and is equally difficult to prevent. To reduce the risk of patient harm resulting from errors in critical thinking, it has been proposed that we train physicians to understand and maintain awareness of their thought process, to identify error-prone clinical situations, to recognize predictable vulnerabilities in thinking, and to employ strategies to avert cognitive errors. The first step to this approach is to gain an understanding of how physicians make decisions and what conditions may predispose to faulty decision-making. We review the dual-process theory, which offers a framework to understand both intuitive and analytical reasoning, and to identify the necessary conditions to support optimal cognitive processing. We also discuss systematic deviations from normative reasoning known as cognitive biases, which were first described in cognitive psychology and have been identified as a contributing factor to errors in medicine. Training physicians in common biases and strategies to mitigate their effect is known as debiasing. A variety of debiasing techniques have been proposed for use by clinicians. We sought to review the current evidence supporting the effectiveness of these strategies in the clinical setting. This discussion of improving clinical reasoning is relevant to medical educators as well as practicing EPs engaged in continuing medical education.
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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.