A cognitive forcing tool to mitigate cognitive bias - a randomised control trial.

ABSTRACT:

Background

Cognitive bias is an important source of diagnostic error yet is a challenging area to understand and teach. Our aim was to determine whether a cognitive forcing tool can reduce the rates of error in clinical decision making. A secondary objective was to understand the process by which this effect might occur.

Methods

We hypothesised that using a cognitive forcing tool would reduce diagnostic error rates. To test this hypothesis, a novel online case-based approach was used to conduct a single blinded randomized clinical trial conducted from January 2017 to September 2018. In addition, a qualitative series of "think aloud" interviews were conducted with 20 doctors from a UK teaching hospital in 2018. The primary outcome was the diagnostic error rate when solving bi

SUBMITTER: O'Sullivan ED 

PROVIDER: S-EPMC6325867 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature