• Aron Shlonsky, Rebecca Featherston, Karyn L Galvin, Adam P Vogel, Catherine L Granger, Courtney Lewis, My-Linh Luong, and Laura E Downie.
• Department of Social Work, University of Melbourne, Parkville, Victoria, Australia.
• Optom Vis Sci. 2019 Nov 1; 96 (11): 818-824.

SignificanceCognitive biases, systematic errors in thinking that impact a person's choices and judgments, can influence decision making at various points during patient care provision. These biases can potentially result in misdiagnoses, delayed clinical care, and/or patient mismanagement. A range of interventions exists to mitigate cognitive biases. There is a need to understand the relative efficacy of these interventions within the context of eye care practice.PurposeThe aim of this systematic review was to synthesize the evidence relating to interventions for mitigating cognitive biases associated with clinical decision making by eye care professionals.Data SourcesElectronic databases (including Ovid MEDLINE, Embase, Scopus, PsycINFO) were searched from inception to October 2017 for studies investigating interventions intended to mitigate cognitive biases in the clinical decision making of eye care professionals. This review was undertaken in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines.Study Eligibility CriteriaTo ensure inclusion of all relevant literature, a wide range of study designs was eligible for inclusion, such as randomized controlled trials, nonrandomized trials, interrupted time series and repeated measures, controlled before-after studies, and qualitative studies that were a component of any of these quantitative study designs.Study Appraisal And Synthesis MethodsTwo review authors independently screened titles, abstracts, and full-text articles in duplicate, applying a priori eligibility criteria.ResultsAfter screening 2759 nonduplicate records, including full-text screening of 201 articles, no relevant studies were identified.Conclusions And Implications Of FindingsGiven that cognitive biases can significantly impact the accuracy of clinical decision making and thus can have major effects on clinical care and patient health outcomes, the lack of studies identified in this systematic review indicates a critical need for research within the area of cognitive bias mitigation for decision making within eye care practice.

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