Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement.

Krystle Martin; Korri Bickle; Jessica Lok

Study

Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement.

April 20, 2022

Martin K, Bickle K, Lok J. Int J Mental Health Nurs. 2022;31(4):897-907.

View more articles from the same authors.

Cognitive biases can compromise decision making and contribute to poor care. In this study, nurses were provided two patient vignettes as well as associated clinical notes written using either biased or neutral language and asked to make clinical decisions regarding PRN (“as needed”) medication administration for sleep. The study identified a relationship between biased language and clinical decision-making (such as omitting patient education when administering PRN medications).

PubMed citation

Available at

Related Resources From the Same Author(s)

Health professionals' perspectives of safety issues in mental health services: a qualitative study.

March 31, 2021

The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review.

February 22, 2023

Systematic review of the impact of physician implicit racial bias on clinical decision making.

May 5, 2017

Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors.

November 10, 2021

The nurse's experience of decision-making processes in missed nursing care: a qualitative study.

May 13, 2020

Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review.

July 13, 2022

The impact of power on health care team performance and patient safety: a review of the literature.

April 21, 2021

Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims

May 11, 2022

A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services.

August 5, 2020

Cognitive bias impact on management of postoperative complications, medical error, and standard of care.

November 4, 2020

Speaking up about patient safety in psychiatric hospitals - a cross-sectional survey study among healthcare staff.

November 6, 2019

From mindless to mindful practice—cognitive bias and clinical decision making.

July 31, 2013

Influence of socioeconomic bias on emergency medicine resident decision making and patient care.

August 19, 2020

Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available.

March 30, 2022

The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction.

October 21, 2020

Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care.

October 19, 2022

The impact of health information management professionals on patient safety: a systematic review.

December 22, 2021

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

Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department.

July 6, 2022

Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence

December 1, 2021

Effect of barcode technology on medication preparation safety: a quasi-experimental study.

April 14, 2021

The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center.

February 1, 2023

The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents.

April 21, 2021

Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study.

December 16, 2020

Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation.

December 15, 2021

Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses' perceptions of their roles and responsibilities.

March 23, 2022

Errors during resuscitation: the impact of perceived authority on delivery of care.

March 25, 2020

The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project.

April 13, 2022

What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust.

September 2, 2020

Nursing and patient safety in the operating room.

January 23, 2008

Implicit bias in healthcare: clinical practice, research and decision making.

April 21, 2021

Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations.

March 31, 2021

Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.

September 14, 2022

A machine learning-based clinical decision support system to identify prescriptions with a high risk of medication error.

October 21, 2020

'Doing the best we can': Registered nurses' experiences and perceptions of patient safety in intensive care during COVID-19.

September 7, 2022

Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study.

February 12, 2020

The relationship between patient safety culture and the intentions of the nursing staff to report a near-miss event during the COVID-19 crisis.

April 5, 2023

The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement.

June 14, 2006

Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias.

March 22, 2023

The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - a systematic review and meta-analysis.

July 15, 2020

Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive bias in the COVID-19 era.

August 12, 2020

Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine.

April 5, 2023

The source of purchased medications and its impact on medication mistakes and hospitalizations.

March 16, 2022

The impact of meaningful use and electronic health records on hospital patient safety.

November 2, 2022

Considering the safety and quality of artificial intelligence in health care.

September 16, 2020

The role of organizational and professional cultures in medication safety: a scoping review of the literature.

January 15, 2020

Error and cognitive bias in diagnostic radiology.

April 13, 2022

The problem with making Safety-II work in healthcare.

April 13, 2022

Sensemaking and learning during the Covid-19 pandemic: a complex adaptive systems perspective on policy decision-making.

September 16, 2020

Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study.

June 9, 2021

Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident.

October 6, 2021

Nursing bedside clinical handover—an integrated review of issues and tools.

November 12, 2014

The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department.

July 27, 2022

Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study.

August 10, 2022

Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project.

October 20, 2021

Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches.

November 30, 2022

Impact of patient safety culture on missed nursing care and adverse patient events.

March 20, 2019

Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications.

October 20, 2021

Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study.

November 18, 2020

Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department.

April 20, 2022

Intervention study for the reduction of medication errors in elderly trauma patients.

September 2, 2020

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

Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports.

October 14, 2020

Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey.

May 11, 2022

Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care.

August 10, 2022

Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation.

April 20, 2022

Cognitive aids in the management of clinical emergencies: a systematic review.

January 18, 2023

Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States.

December 8, 2021

Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice.

December 1, 2021

Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals.

June 29, 2022

Stigma and healthcare access among transgender and gender-diverse people: a qualitative meta-synthesis.

July 20, 2022

An act of performance: exploring residents' decision-making processes to seek help.

April 14, 2021

Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record.

March 16, 2022

Impact of intensive care unit discharge time on patient outcome.

January 17, 2007

Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions.

October 13, 2021

The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency.

June 15, 2022

Use of heuristics during the clinical decision process from family care physicians in real conditions.

October 6, 2021

Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care.

May 25, 2022

Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting.

January 8, 2020

Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis.

July 7, 2021

Communication in health care: impact of language and accent on health care safety, quality, and patient experience.

August 4, 2021

A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment.

August 3, 2016

Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration.

April 20, 2022

Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports.

November 10, 2021

Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers.

May 18, 2022

The association between nurse staffing and omissions in nursing care: a systematic review.

July 11, 2018

The impact of the COVID-19 pandemic on Emergency Department visits and patient safety in the United States.

August 26, 2020

The challenges and opportunities for shared decision making highlighted by COVID-19.

August 12, 2020

Investigating the impact of structural racism on Black birthing people - associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity.

February 15, 2023

Increased mortality and costs associated with adverse events in intensive care unit patients.

April 6, 2022

Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST).

November 3, 2021

The impact of COVID-19 response on central line associated bloodstream infections and blood culture contamination rates at a tertiary care center in greater Detroit area.

December 16, 2020

The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England.

August 18, 2021

The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety.

July 22, 2020

Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic.

February 23, 2022

Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study.

November 2, 2022

Prescribing decision making by medical residents on night shifts: a qualitative study.

November 9, 2022

The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review.

October 5, 2022

Factors associated with missed nursing care and nurse-assessed quality of care during the COVID-19 pandemic.

February 23, 2022

Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results.

November 25, 2020

Related Resources

Discharge from Mental Health Care: Making it Safe and Patient-centred.

April 17, 2024

Should dignity preservation be a precondition for safety and a design priority for healing in inpatient psychiatry spaces?

April 10, 2024

Exploring safety culture within inpatient mental health units: the results from participant observation across three mental health services.

April 3, 2024

WebM&M Cases

Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation

March 27, 2024

Implementing and evaluating patient-focused safety technology on adult acute mental health wards.

March 13, 2024

unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study.

February 28, 2024

Anticipating patient safety events in psychiatric care.

February 7, 2024

Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy.

January 17, 2024

Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique.

August 16, 2023

Only 1 in 5 people with opioid addiction get the medications to treat it, study finds.

August 16, 2023

Why stigma matters in addressing alcohol harm.

August 9, 2023

Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department.

July 26, 2023

‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care.

July 5, 2023

Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia.

July 5, 2023

Understanding the medication safety challenges for patients with mental illness in primary care: a scoping review.

June 28, 2023

WebM&M Cases

The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department.

June 14, 2023

Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care.

May 24, 2023

Care Delivery within Community Mental Health Teams.

April 5, 2023

WebM&M Cases

Challenging Case of Multiple Suicide Attempts in a Complex Patient with Psychiatric Comorbidities.

March 29, 2023

Few hospitals are willing to bear the cost of providing psychiatric care for kids.

March 22, 2023

Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.

February 15, 2023

Conceptual and practical challenges associated with understanding patient safety within community-based mental health services.

December 7, 2022

Influencing a culture of quality and safety through huddles.

November 9, 2022

Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway.

November 9, 2022

Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative.

October 5, 2022

Addressing Burnout in the Behavioral Health Workforce through Organizational Strategies.

September 14, 2022

Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis.

August 17, 2022

Developing and aligning a safety event taxonomy for inpatient psychiatry.

July 13, 2022

Is it time for the mental health field to consider unplanned discharge a key metric of patient safety?

May 4, 2022

Factors associated with workplace violence among healthcare workers in an academic medical center.

April 27, 2022

See More About The Topic

Psychiatric Facilities

Hospitals

Mental Health Care (Psychiatry and Clinical Psychology)

Psychiatric Nursing

Medication Safety

Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement.

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