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PSNet: Patient Safety Network
Journal Article
Review

Role of cognition in generating and mitigating clinical errors.

Patel VL, Kannampallil TG, Shortliffe EH. BMJ quality & safety. 2015;24:468-74.

Cognition has been recognized as a human factor that can contribute to failures in health care. This review examines cognitive aspects of human error that affect patient safety, methods to augment detection of flawed decision-making, and the potential for educational approaches like virtual reality simulation to train physicians to manage cognitive error once it occurs. A past AHRQ WebM&M interview with Dr. Pat Croskerry explored the role of cognition in medical error.