ArticleInternational journal of environmental research and public health2022
Cognitive Bias and Diagnostic Errors among Physicians in Japan: A Self-Reflection Survey.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Cognitive Tunneling in Obstetrics and Gynecology: A Critical Review of Implications for Clinical Practice and Mitigation Strategies.Diseases (Basel, Switzerland) · 2026Review
- Diagnostic Challenges of Methanol Poisoning in Resource-Limited Settings: A Case Series.Clinical case reports · 2026Article
- Determinants of ECG misdiagnosis of atrial fibrillation or flutter in the emergency department and their clinical implications: results from a single-center observational study.BMC emergency medicine · 2026Observational
- Teaching common cognitive biases and associated errors in veterinary neurologic diagnosis using clinical vignettes: a narrative review.Frontiers in veterinary science · 2026Review
- A Second Look at Refractory Edema: Delayed Diagnosis of Paraneoplastic Cushing's Syndrome in Small Cell Lung Cancer.Cureus · 2025Article
- Rare Lupus Exacerbation Shines Light on Provider Bias in a Patient With Possible Autoimmune Hepatitis.Cureus · 2025Article
- Simulated Emergency Room Sign-outs: What They Tell Us About Diagnostic Accuracy and Opportunities for Improvement.Journal of patient safety · 2025Article
- Article
- Low-Energy Trauma: Severe Liver Injury in an Elderly Patient from a Seated Fall.The American journal of case reports · 2024Article
- Students and physicians differ in perception of quality of life in patients with tumors of the upper gastrointestinal tract.Scientific reports · 2024Article
- Effects of a 60-Minute Lecture About Diagnostic Errors for Medical Students: A Single-Center Interventional Study.Cureus · 2024Article
- Japanese Internists' Most Memorable Diagnostic Error Cases: A Self-reflection Survey.Internal medicine (Tokyo, Japan) · 2024Article
- Cognitive biases encountered by physicians in the emergency room.BMC emergency medicine · 2022Article
- A Case of Panic Disorder Misdiagnosed as Epilepsy for 9 Years in a Young Male.Saudi journal of medicine & medical sciencesArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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,
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