jueves, 6 de noviembre de 2014

AHRQ Patient Safety Network ► Systematic biases in group decision-making: implications for patient safety.

AHRQ Patient Safety Network

Study reviews four pitfalls in group decision-making; flawed group decisions can be root of medical errors.Int J Qual Health Care. 2014 Oct 15; [Epub ahead of print].

PSNet header image
Systematic biases in group decision-making: implications for patient safety.
Mannion R, Thompson C. Int J Qual Health Care. 2014 Oct 15; [Epub ahead of print].
Cognitive approaches to patient safety have mostly focused on individual decisions. This study instead examines group decision-making and its safety implications. The authors describe four pitfalls associated with group decisions: groupthink in which the strongly connected mentality of members hinders dissenting opinion; social loafing in which people expend less effort because of a perceived failure to obtain individual credit for efforts; group polarization in which individual moderate positions are subsumed by more extreme or effort intensive group decisions; and escalation of commitment in which a poor outcome following a significant investment results in further commitment of resources instead of exploring a new approach. These four concepts can serve as a theoretical framework for future empiric work to characterize and improve group decision-making as an aspect of safety culture.
PubMed citation icon indicating hyperlink to external website
Available at icon indicating hyperlink to external website

Related Resources
The consequences of the hindsight bias in medical decision making.
Arkes HR. Curr Dir Psychol Sci. 2013;22:356-360.
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid.
Dalton D, Williams N. London, UK: The Royal College of Surgeons of England; March 2014.
Development and validation of the Johns Hopkins Disruptive Clinician Behavior Survey.
Dang D, Nyberg D, Walrath JM, Kim MT. Am J Med Qual. 2014 Jul 28; [Epub ahead of print].
No simple fix for fixation errors: cognitive processes and their clinical applications.
Fioratou E, Flin R, Glavin R. Anaesthesia. 2010;65:61-69.
View all related resources...

No hay comentarios: