Clinical decision-making: heuristics and cognitive biases for the ophthalmologist.

Ahsen Hussain; James Oestreicher

Review

Clinical decision-making: heuristics and cognitive biases for the ophthalmologist.

January 31, 2018

Hussain A, Oestreicher J. Surv Ophthalmol. 2018;63(1):119-124.

View more articles from the same authors.

Flawed decision-making influences the effectiveness of care on many levels. This review discusses cognitive shortcuts and biases that contribute to diagnostic error. The authors explore how and when these biases occur in opthalmology. Strategies to avoid decision-making errors include cognitive debiasing and heuristic examination.

PubMed citation

Available at

Related Resources From the Same Author(s)

Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review.

July 31, 2019

Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety.

June 23, 2021

The consequences of whistle-blowing: an integrative review.

July 26, 2017

How useful are medication patient information leaflets to older adults? A content, readability and layout analysis.

September 17, 2014

Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis.

October 14, 2020

A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital.

April 27, 2022

Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis.

August 4, 2021

Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study.

November 1, 2023

Clinical handover incident reporting in one UK general hospital.

October 20, 2010

Role of computerized physician order entry usability in the reduction of prescribing errors.

August 21, 2013

With money at risk, hospitals push staff to wash hands.

June 12, 2013

Diagnostic error in the emergency department: learning from national patient safety incident report analysis.

January 15, 2020

Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes.

November 8, 2017

Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system.

November 9, 2011

Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-wide cardiopulmonary arrests and mortality.

January 23, 2013

Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis.

January 12, 2022

Women with large vessel occlusion acute ischemic stroke are less likely to be routed to comprehensive stroke centers.

August 23, 2023

The morbidity and mortality meeting: time for a different approach?

December 2, 2015

Safety paradoxes and safety culture.

April 9, 2003

The evolution of the apology.

February 7, 2007

When incidents happen.

August 2, 2006

The future of graduate medical education: a systems-based approach to ensure patient safety.

July 22, 2015

A piece of my mind. I'm sorry.

July 1, 2015

Patient Safety.

February 8, 2012

A new, evidence-based estimate of patient harms associated with hospital care.

August 7, 2013

A piece of my mind. Despite my best intentions.

November 22, 2017

Using information to optimize medical outcomes.

June 17, 2009

Could it happen here? Learning from other organizations' safety errors.

November 12, 2008

Patient safety: lessons learned.

March 1, 2006

Getting boards on board: engaging governing boards in quality and safety.

April 2, 2008

How I minimize mistransfusion risk in my hospital.

July 26, 2006

Patient safety: what is really at issue?

October 26, 2005

Analysis of clinical decision support system malfunctions: a case series and survey.

April 13, 2016

Medical team training improves team performance: AOA critical issues.

October 18, 2017

Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit.

July 14, 2010

Random safety auditing, root cause analysis, failure mode and effects analysis.

May 19, 2010

Medication-administration errors in an urban mental health hospital: a direct observation study.

March 11, 2015

Why stigma matters in addressing alcohol harm.

August 9, 2023

Patient safety: listen to whistleblowers.

September 27, 2023

The Swiss cheese model of adverse event occurrence—closing the holes.

January 13, 2016

The impact of transitioning from a 24-hour to a 16-hour call model amongst a cohort of Canadian anesthesia residents at McMaster University—a survey study.

October 7, 2015

Speaking up: an ethical action exercise.

April 11, 2018

A learning health care system using computer-aided diagnosis.

March 22, 2017

Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites.

June 25, 2014

From tasks to processes: the case for changing health information technology to improve health care.

April 1, 2009

Organisational failure: rethinking whistleblowing for tomorrow's doctors.

September 7, 2022

Making polypharmacy safer for children with medical complexity.

April 5, 2023

Reducing harm to patients. Using patient safety dashboards at the board level.

December 5, 2007

Rounding to influence.

September 29, 2010

Medical errors education: a prospective study of a new educational tool.

April 7, 2010

Clinical care checklists: salvations or frustrations?

June 1, 2011

Overuse of medical imaging and its radiation exposure: who’s minding our children?

September 28, 2016

ADVERSE drug events: incidence and risk reduction across the care continuum.

February 10, 2016

Finding antecedents of psychological safety: a step toward quality improvement.

September 2, 2015

Using simulation to improve systems.

August 12, 2015

Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study.

July 24, 2019

Measuring the rate of manual transcription error in outpatient point-of-care testing.

March 13, 2019

In-facility delirium programs as a patient safety strategy: a systematic review.

March 13, 2013

Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit.

June 12, 2013

Investigating the safety of medication administration in adult critical care settings.

June 27, 2012

Sharing the process of diagnostic decision making.

August 9, 2017

Using simulation to improve systems.

September 27, 2017

Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error.

March 6, 2019

Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events.

January 31, 2018

Weaving a healthcare tapestry of safety and communication.

July 16, 2014

A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from each other?

September 2, 2020

The influence of race and gender on pain management: a systematic literature review.

December 15, 2015

Developing surgical and anesthesia resident patient safety competencies through systems-based event analysis. Guide to curricular development and evaluation of longer-term resident perceptions.

October 18, 2023

Influence of workplace demands on nurses' perception of patient safety.

June 18, 2008

The 100,000 Lives Campaign: crystallizing standards of care for hospitals.

November 23, 2005

Briefing and debriefing in the operating room using fighter pilot crew resource management.

July 25, 2007

The business case for patient safety.

February 14, 2007

Color coding to reduce errors.

September 7, 2005

Making the business case for patient safety.

March 6, 2005

Impact of the COVID-19 pandemic on cancer care: a global collaborative study.

November 11, 2020

Duplication of surgical site marking.

September 19, 2012

Medication errors and trainees: advice for learners and organizations.

October 4, 2017

Comparison of internal medicine and general surgery residents' assessments of risk of postsurgical complications in surgically complex patients.

November 8, 2017

In harm's way.

May 22, 2019

Adverse drug event–related emergency department visits associated with complex chronic conditions.

June 11, 2014

More than an apple a day: factors associated with avoidance of doctor visits among transgender, gender nonconforming, and nonbinary people in the USA.

September 23, 2020

The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system.

January 15, 2020

Use of specific indicators to detect warfarin-related adverse events.

August 24, 2005

The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi-experimental study.

October 20, 2021

Description of inpatient medication management using cognitive work analysis.

December 16, 2009

Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital.

January 5, 2011

Paediatric nurses' understanding of the process and procedure of double-checking medications.

March 17, 2010

Patient safety in dermatology: a review of the literature.

February 17, 2010

Evaluation of preoperative and perioperative operating room briefings at the Hospital for Sick Children.

August 26, 2009

Design for patient safety: a systems-based risk identification framework.

August 15, 2018

Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit.

June 29, 2016

Patient safety science in cardiothoracic surgery: an overview.

March 16, 2016

How surgical trainees handle catastrophic errors: a qualitative study.

July 1, 2015

The cost of disruptive and unprofessional behaviors in health care.

October 16, 2013

Increasing rate of detection of wrong-patient radiographs: use of photographs obtained at time of radiography.

June 12, 2013

How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees.

June 13, 2012

Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs.

December 5, 2018

Diagnostic errors: impact of an educational intervention on pediatric primary care.

November 8, 2017

Using data to enhance performance and improve quality and safety in surgery.

August 30, 2017

Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care.

June 28, 2017

Related Resources

Annual Perspective

Equity in Patient Safety

March 27, 2024

Risk management and patient safety in the artificial intelligence era: a systematic review.

March 27, 2024

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Patient Safety Innovations

U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument

January 26, 2022

Errors in adult trauma resuscitation: a systematic review.

June 30, 2021

Patient.

October 19, 2020

Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning.

July 22, 2020

Patient Safety

February 26, 2020

Strategies to reduce diagnostic errors: a systematic review

October 16, 2019

Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review.

June 19, 2019

Medication accuracy in electronic health records for microbial keratitis.

June 12, 2019

Accuracy of a popular online symptom checker for ophthalmic diagnoses.

May 22, 2019

Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database.

February 6, 2019

How one hospital improved patient safety in 10 minutes a day.

November 14, 2018

Association of cataract surgical outcomes with late surgeon career stages: a population-based cohort study.

October 24, 2018

Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review.

October 3, 2018

Overdiagnosis in primary care: framing the problem and finding solutions.

September 12, 2018

Barriers and facilitators to injection safety in ambulatory care settings.

August 29, 2018

Social disparities in patient safety in primary care: a systematic review.

August 22, 2018

Beyond Dr. Google: the evidence on consumer-facing digital tools for diagnosis.

August 22, 2018

Accuracy of pediatric trauma field triage: a systematic review.

May 30, 2018

Electronic health record reviews to measure diagnostic uncertainty in primary care.

May 2, 2018

Diagnostic reasoning and cognitive biases of nurse practitioners.

April 25, 2018

Safe care for pediatric patients: a scoping review across multiple health care settings.

February 28, 2018

Older adults' awareness of deprescribing: a population-based survey.

February 28, 2018

Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data.

February 21, 2018

Nurses' clinical reasoning practices that support safe medication administration: an integrative review of the literature.

January 10, 2018

Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action.

December 6, 2017

Association between opioid prescribing patterns and abuse in ophthalmology.

November 29, 2017

Interventions to improve hand hygiene compliance in the ICU: a systematic review.

November 29, 2017

See More About The Topic

Ambulatory Care

Health Care Providers

Ophthalmology

Diagnostic Errors

Epidemiology of Errors and Adverse Events

Clinical decision-making: heuristics and cognitive biases for the ophthalmologist.

U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Clinical decision-making: heuristics and cognitive biases for the ophthalmologist.

U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site