Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for residents.

James B. Reilly; Alexis R. Ogdie; Joan M. Von Feldt; Jennifer S. Myers

Study

Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for residents.

September 25, 2013

Reilly JB, Ogdie AR, Von Feldt JM, et al. BMJ Qual Saf. 2013;22(12):1044-50.

View more articles from the same authors.

A longitudinal curriculum for internal medicine residents, using simulated patient scenarios, resulted in improved ability to recognize the cognitive biases that can contribute to diagnostic errors.

PubMed citation

Available at

Related Resources From the Same Author(s)

Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine.

September 5, 2012

Use of a novel, modified fishbone diagram to analyze diagnostic errors.

July 16, 2014

Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals?

August 6, 2014

Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine.

November 14, 2018

Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study.

February 6, 2013

Using patient safety reporting systems to understand the clinical learning environment: a content analysis.

January 9, 2019

Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education.

June 17, 2015

What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones.

July 18, 2018

Using computerized virtual cases to explore diagnostic error in practicing physicians.

February 13, 2019

Resident and RN perceptions of the impact of a medical emergency team on education and patient safety in an academic medical center.

December 2, 2009

Improving sepsis care through systems change: the impact of a medical emergency team.

March 5, 2008

Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013).

June 17, 2015

Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications.

March 1, 2017

The best medical care in the world.

May 16, 2018

Crew resource management improved perception of patient safety in the operating room.

January 6, 2010

Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning.

January 14, 2015

Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy.

July 9, 2014

A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge.

September 30, 2015

Hospital quality and patient safety competencies: development, description, and recommendations for use.

January 30, 2005

Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers.

March 22, 2017

The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment.

July 14, 2021

Implementation of an electronic system for medication reconciliation.

February 28, 2007

Computerized physician order entry in US hospitals: results of a 2002 survey.

March 6, 2005

A call to action: next steps to advance diagnosis education in the health professions.

June 8, 2022

Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety.

January 15, 2020

The next organizational challenge: finding and addressing diagnostic error.

March 5, 2014

Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases.

November 28, 2018

The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience.

June 13, 2007

US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety.

August 22, 2018

Impact of drug shortages on U.S. health systems.

August 3, 2011

Hospital admission medication reconciliation in medically complex children: an observational study.

April 21, 2010

Standard practices for computerized clinical decision support in community hospitals: a national survey.

July 11, 2012

Evaluating shared decision making for lung cancer screening.

September 5, 2018

Implementation of bar-code medication administration to reduce patient harm.

February 20, 2019

Patient misidentifications caused by errors in standard barcode technology.

September 1, 2010

Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems survey.

June 7, 2017

Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR.

October 19, 2005

Some unintended consequences of information technology in health care: the nature of patient care information system-related errors.

March 6, 2005

Cough and cold medication adverse events after market withdrawal and labeling revision.

December 4, 2013

Patient, physician, medical assistant, and office visit factors associated with medication list agreement.

March 9, 2016

Association of hydrocodone schedule change with opioid prescriptions following surgery.

September 5, 2018

An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection.

March 6, 2005

Latent safety threats and countermeasures in the operating theater: a national in situ simulation-based observational study.

February 23, 2022

Patient safety indicators for judging hospital performance: still not ready for prime time.

February 24, 2016

Surgical skill and complication rates after bariatric surgery.

October 23, 2013

The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials.

February 8, 2012

Building safer systems by ecological design: using restoration science to develop a medication safety intervention.

April 12, 2006

Improving patient safety by repeating (read-back) telephone reports of critical information.

March 6, 2005

Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review.

May 23, 2018

Full work analysis of resident work hours.

June 11, 2008

Epidemiology of medical error.

March 27, 2005

Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology.

October 15, 2014

Safe use of the EHR by medical scribes: a qualitative study.

November 18, 2020

Defining, estimating, and communicating overdiagnosis in cancer screening.

June 27, 2018

Preventable anesthesia mishaps: a study of human factors.

March 27, 2005

Computerized provider order entry adoption: implications for clinical workflow.

December 10, 2008

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.

October 15, 2008

Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument.

July 16, 2008

Types of unintended consequences related to computerized provider order entry.

September 20, 2006

The evolving role of medical scribe: variation and implications for organizational effectiveness and safety.

March 1, 2017

Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement.

April 3, 2013

Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit.

February 3, 2016

Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals.

April 2, 2008

Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation.

February 17, 2021

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

August 18, 2010

How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting.

March 6, 2005

Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices.

March 6, 2013

Organisational culture: variation across hospitals and connection to patient safety climate.

January 5, 2011

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

November 12, 2008

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

April 2, 2008

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

August 15, 2018

Perceived discrimination in the community pharmacy: a cross-sectional, national survey of adults.

May 10, 2023

Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy.

March 22, 2017

A review of best practices for intravenous push medication administration.

December 20, 2017

How providers can optimize effective and safe scribe use: a qualitative study.

February 1, 2023

Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach.

August 31, 2016

Examining medication ordering errors using AHRQ Network of Patient Safety Databases.

February 22, 2023

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis.

March 7, 2018

Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in undergraduate medical students.

September 21, 2016

Events that inspired change: the importance of sharing what happened to stop it from happening again.

May 3, 2023

Disclosing adverse events in clinical practice: the delicate act of being open.

February 2, 2022

Identifying medication errors in surgical prescription charts.

July 21, 2010

Instrument count sheets and set reviews as patient safety tools.

January 11, 2017

Quality improvement, patient safety, and continuing education: a qualitative study of the current boundaries and opportunities for collaboration between these domains.

April 15, 2015

Leveraging trainees to improve quality and safety at the point of care: three models for engagement.

November 18, 2015

The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development.

May 22, 2013

Making healthcare safer by understanding, designing and buying better IT.

July 22, 2015

Bar coding for patient safety.

August 3, 2005

Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry.

September 16, 2015

Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose."

July 30, 2014

The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose.

February 14, 2018

Medication complexity, medication number, and their relationships to medication discrepancies.

July 27, 2016

A systematic review of simulation for multidisciplinary team training in operating rooms.

February 13, 2013

Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review.

April 10, 2024

Workarounds in the workplace: a second look.

August 12, 2015

The extent and importance of unintended consequences related to computerized provider order entry.

May 16, 2007

Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources.

August 15, 2007

Evaluating a new rapid response team: NP-led versus intensivist-led comparisons.

February 29, 2012

Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses.

April 13, 2016

Using information to optimize medical outcomes.

June 17, 2009

Related Resources

A scoping review exploring the confidence of healthcare professionals in assessing all skin tones.

October 4, 2023

Evidence for anchoring bias during physician decision-making.

July 12, 2023

Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum.

June 28, 2023

Context matters: toward a multilevel perspective on context in clinical reasoning and error.

June 21, 2023

The time is now: addressing implicit bias in obstetrics and gynecology education.

May 17, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Implicit racial bias, health care provider attitudes, and perceptions of health care quality among African American college students in Georgia, USA.

January 18, 2023

Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning.

January 11, 2023

Structural racism and impact on sickle cell disease: sickle cell lives matter.

January 11, 2023

Calibrate Dx: A Resource to Improve Diagnostic Decisions.

October 19, 2022

Improved Diagnostic Accuracy Through Probability-Based Diagnosis.

September 28, 2022

Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities.

August 10, 2022

Narrowing the mindware gap in medicine.

July 20, 2022

April 27, 2022

Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams.

March 16, 2022

Eliminating explicit and implicit biases in health care: evidence and research needs.

February 23, 2022

Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study.

February 9, 2022

Diagnostic reasoning in cardiovascular medicine.

January 19, 2022

Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study.

December 15, 2021

NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021.

November 24, 2021

Developing critical thinking skills for delivering optimal care

July 28, 2021

Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation.

June 2, 2021

WebM&M Cases

A Sweet Case of Hidden Hydrogen Ions

April 28, 2021

Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims.

April 14, 2021

Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color.

August 5, 2020

Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey.

May 20, 2020

Misdiagnosis, mistreatment, and harm - when medical care ignores social forces.

April 8, 2020

What do emergency department physicians and nurses feel? A qualitative study of emotions, triggers, regulation strategies, and effects on patient care.

April 1, 2020

A professional development course improves unprofessional physician behavior.

February 12, 2020

Critical errors in infrequently performed trauma procedures after training.

November 20, 2019

See More About The Topic

Hospitals

Physicians

Quality and Safety Professionals

Educators

Medicine

Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for residents.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for residents.

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