Cognitive error as the most frequent contributory factor in cases of medical injury: A study on verdict's judgment among closed claims in Japan

Journal of Hospital Medicine

Volumn 6, Issue 3, 2011, Pages 109-114

  Tokuda, Yasuharu ^a   Kishida, Naoki ^b   Konishi, Ryota ^c   Koizumi, Shunzo ^d  

^a UNIVERSITY OF TSUKUBA   (Japan)

^b TEINE KEIJINKAI HOSPITAL   (Japan)

^c KANTO ROSAI HOSPITAL   (Japan)

^d SAGA UNIVERSITY   (Japan)

Author keywords

Cognition; Error in judgment; Failure of vigilance; Medical injury

Indexed keywords

ADULT; AGED; ALERTNESS; ARTICLE; CLINICAL DECISION MAKING; COGNITION; COGNITIVE ERROR; COMPENSATION; CONTROLLED STUDY; COURT; DEATH; FEMALE; HEALTH INSURANCE; HUMAN; JAPAN; MAJOR CLINICAL STUDY; MALE; MALPRACTICE; MEDICAL ERROR; MEDICAL INFORMATION; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; PREVALENCE; PRIORITY JOURNAL;

ADULT; AGED; COGNITION; FEMALE; HUMANS; INSURANCE CLAIM REVIEW; INSURANCE, LIABILITY; JAPAN; JUDGMENT; JUDICIAL ROLE; MALE; MALPRACTICE; MEDICAL ERRORS; MIDDLE AGED;

EID: 79952479949     PISSN: 15535592     EISSN: 15535606     Source Type: Journal    
DOI: 10.1002/jhm.820     Document Type: Article

References (23)

1. Newman-Toker DE, Pronovost PJ. Diagnostic errors-the next frontier for patient safety. JAMA. 2009; 301(10): 1060-1062.
2. Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005; 165(13): 1493-1499.
3. Singh H, Thomas E, Petersen L, Studdert D. Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. Arch Intern Med. 2007; 167(19): 2030-2036.
4. Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006; 15(3): 159-164.
5. Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med. 2003; 78(8): 775-780.
6. Studdert DM, Mello MM, Gawande AA, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006; 354(19): 2024-2033.
7. Studdert DM, Thomas EJ, Burstin HR, Zbar BI, Orav EJ, Brennan TA. Negligent care and malpractice claiming behavior in Utah and Colorado. Med Care. 2000; 38(3): 250-260.
8. Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000; 38(3): 261-271.
9. Baker DP, Gustafson S, Beaubien J, Salas E, Barach P. Medical Teamwork and Patient Safety: The Evidence-Based Relation. Rockville, MD: Agency for Healthcare Research and Quality; 2005 [updated April 2005]; Available at: Accessed June 2010.
10. Glover C, Bogle I. Team working in Primary Health Care. Realising Shared Aims in Patient Care. London, UK: Royal Pharmaceutical Society and British Medical Association. 2005.
11. Smits M, Groenewegen PP, Timmermans DR, van der Wal G, Wagner C. The nature and causes of unintended events reported at ten emergency departments. BMC Emerg Med. 2009; 9: 16.
12. Kohn LT, Corrigan J, Donaldson MS. To Err Is Human: Building a Safer Health System. Washington, USA: National Academy Press; 2000.
13. Gawande AA, Zinner MJ, Studdert DM, Brennan TA. Analysis of errors reported by surgeons at three teaching hospitals. Surgery. 2003; 133(6): 614-621.
14. Croskerry P. Achieving quality in clinical decision making: cognitive strategies and detection of bias. Acad Emerg Med. 2002; 9(11): 1184-1204.
15. Croskerry P. Cognitive forcing strategies in clinical decision making. Ann Emerg Med. 2003; 41(1): 110-120.
16. Mamede S, Schmidt HG, Penaforte JC. Effects of reflective practice on the accuracy of medical diagnoses. Med Educ. 2008; 42(5): 468-475.
17. Schön DA. The Reflective Practitioner: How Professionals Think in Action. New York, NY: Basic Books; 1983.
18. Mamede S, Schmidt HG, Rikers R. Diagnostic errors and reflective practice in medicine. J Eval Clin Pract. 2007; 13(1): 138-145.
19. Tokuda Y, Aoki M, Kandpal SB, Tierney LM Jr. Caught in the web: e-diagnosis. J Hosp Med. 2009; 4(4): 262-266.
20. Ayas NT, Barger LK, Cade BE, et al. Extended work duration and the risk of self-reported percutaneous injuries in interns. JAMA. 2006; 296(9): 1055-1062.
21. Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med. 2004; 351(18): 1838-1848.
22. Lockley SW, Cronin JW, Evans EE, et al. Effect of reducing interns' weekly work hours on sleep and attentional failures. N Engl J Med. 2004; 351(18): 1829-1837.
23. Horinouchi H, Tokuda Y, Nishimura N, et al. Influence of Residents' Workload, Mental State and Job Satisfaction on Procedural Error: a prospective daily questionnaire-based study. General Medicine. 2008; 9(2): 57-64.