Overconfidence as a Cause of Diagnostic Error in Medicine - 20/08/11
, Mark L. Graber, MD b
Requests for reprints should be addressed to Eta S. Berner, EdD, Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, 1675 University Boulevard, Room 544, Birmingham, Alabama 35294-3361.Abstract |
The great majority of medical diagnoses are made using automatic, efficient cognitive processes, and these diagnoses are correct most of the time. This analytic review concerns the exceptions: the times when these cognitive processes fail and the final diagnosis is missed or wrong. We argue that physicians in general underappreciate the likelihood that their diagnoses are wrong and that this tendency to overconfidence is related to both intrinsic and systemically reinforced factors. We present a comprehensive review of the available literature and current thinking related to these issues. The review covers the incidence and impact of diagnostic error, data on physician overconfidence as a contributing cause of errors, strategies to improve the accuracy of diagnostic decision making, and recommendations for future research.
Le texte complet de cet article est disponible en PDF.Keywords : Cognition, Decision making, Diagnosis, Diagnosis, computer-assisted, Diagnostic errors, Feedback
Plan
| This research was supported through the Paul Mongerson Foundation within the Raymond James Charitable Endowment Fund (ESB) and the National Patient Safety Foundation (MLG). |
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| Statement of author disclosures: Please see the Author Disclosures section at the end of this article. |
Vol 121 - N° 5S
P. S2-S23 - mai 2008 Retour au numéro
Article précédent
- Introduction
- Donald A.B. Lindberg
- Overconfidence in Clinical Decision Making
- Pat Croskerry, Geoff Norman
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