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Critical care clinics · Jan 2022
ReviewIntensive Care Unit Decision-Making in Uncertain and Stressful Conditions Part 2: Cognitive Errors, Debiasing Strategies, and Enhancing Critical Thinking.
- Megan Christenson, Anuj Shukla, and Jayshil J Patel.
- Department of Medicine, Division of Pulmonary and Critical Care Medicine, Medical College of Wisconsin, Milwaukee, WI 53045, USA.
- Crit Care Clin. 2022 Jan 1; 38 (1): 89-101.
AbstractDiagnostic errors are considered a blind spot of health care delivery and occur in up to 15% of patient cases. Cognitive failures are a leading cause of diagnostic error and often occur as a result of overreliance on system 1 thinking. This narrative review describes why diagnostic errors occur by shedding additional light on systems 1 and 2 forms of thinking, reviews literature on debiasing strategies in medicine, and provides a framework for teaching critical thinking in the intensive care unit as a strategy to promote learner development and minimize cognitive failures.Copyright © 2021 Elsevier Inc. All rights reserved.
This article appears in the collection: What are the implications of cognitive bias in medicine?.
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