Medical Errors

Cognitive Biases as Contributing Factors to Medical Errors

Cognitive Biases as Contributing Factors to Medical Errors

“The human brain is a complex organ with the wonderful power of enabling man to find reasons for continuing to believe whatever it is that he wants to believe. – Voltaire” (O’Sullivan & Schofield, 2018)  Cognitive Biases Defined Cognitive biases, defined as “flaws or distortions in judgment and decision-making” (Joint Commission, 2016, p.1), have been […]

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Acronym RCA - Root Cause Analysis

Root Cause Analysis

How does learning occur from adverse events, near misses, and errors?   One method is through root cause analysis (RCA).  RCA is a systematic process in which adverse events and near misses are investigated. This approach came from high-risk industries such as nuclear power and aviation and was modified for health care as the patient safety

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