Cognitive Bias in the Patient Encounter: Part II. Debiasing using an adaptive toolbox

Cognitive bias may lead to medical error, and awareness of cognitive pitfalls is a potential first step to addressing the negative consequences of cognitive bias (see Part 1). For decision-making processes that occur under uncertainty, which encompass most physician decisions, a so-called “adaptive...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the American Academy of Dermatology 2024-04
Main Authors: Ko, Christine J., Gehlhausen, Jeffrey R., Cohen, Jeffrey M., Jiang, Yiqun, Myung, Peggy, Croskerry, Pat
Format: Article
Language:English
Subjects:
Cognitive bias
cognitive forcing function
cultural competence
cultural humility
deliberate practice
emotional intelligence
error
feedback debiasing
heuristic
illness script
metacognition
patient safety
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Cognitive bias may lead to medical error, and awareness of cognitive pitfalls is a potential first step to addressing the negative consequences of cognitive bias (see Part 1). For decision-making processes that occur under uncertainty, which encompass most physician decisions, a so-called “adaptive toolbox” is beneficial for good decisions. The adaptive toolbox is inclusive of broad strategies like cultural humility, emotional intelligence, and self-care that help combat implicit bias, negative consequences of affective bias, and optimize cognition. Additionally, the adaptive toolbox includes situational-specific tools such as heuristics, narratives, cognitive forcing functions, and fast and frugal trees. Such tools may mitigate against errors due to cultural, affective, and cognitive bias. Part 2 of this two-part series covers metacognition and cognitive bias in relation to broad and specific strategies aimed at better decision-making.
ISSN:0190-9622
1097-6787
DOI:10.1016/j.jaad.2024.02.061