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Overconfidence, Time-on-Task, and Medical Errors: Is There a Relationship?
Al-Maghrabi, Mohsin; Mamede, Silvia; Schmidt, Henk G; Omair, Aamir; Al-Nasser, Sami; Alharbi, Nouf Sulaiman; Magzoub, Mohi Eldin Mohammed Ali.
Afiliación
  • Al-Maghrabi M; Department of Pediatrics, Imam Abdulrahman Alfaisal Hospital, Riyadh, Saudi Arabia.
  • Mamede S; Institute of Medical Education Research Rotterdam, Erasmus University Rotterdam, Rotterdam, the Netherlands.
  • Schmidt HG; Department of Psychology, Erasmus University Rotterdam, Rotterdam, the Netherlands.
  • Omair A; Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
  • Al-Nasser S; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
  • Alharbi NS; Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia.
  • Magzoub MEMA; Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Adv Med Educ Pract ; 15: 133-140, 2024.
Article en En | MEDLINE | ID: mdl-38410282
ABSTRACT

Background:

Literature suggest that physicians' high level of confidence has a negative impact on medical decisions, and this may lead to medical errors. Experimental research is lacking; however, this study investigated the effects of high confidence on diagnostic accuracy.

Methods:

Forty internal medicine residents from different hospitals in Saudi Arabia were divided randomly into two groups A high-confidence group as an experimental and a low-confidence group acting as a control. Both groups solved each of eight written complex clinical vignettes. Before diagnosing these cases, the high-confidence group was led to believe that the task was easy, while the low-confidence group was presented with information from which it could deduce that the diagnostic task was difficult. Level of confidence, response time, and diagnostic accuracy were recorded.

Results:

The participants in the high-confidence group had a significantly higher confidence level than those in the control group 0.75 compared to 0.61 (maximum 1.00). However, neither time on task nor diagnostic accuracy significantly differed between the two groups.

Conclusion:

In the literature, high confidence as one of common cognitive biases has a strong association with medical error. Even though the high-confidence group spent somewhat less time on the cases, suggesting potential premature decision-making, we failed to find differences in diagnostic accuracy. It is suggested that overconfidence should be studied as a personality trait rather than as a malleable characteristic.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Adv Med Educ Pract Año: 2024 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: Nueva Zelanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Adv Med Educ Pract Año: 2024 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: Nueva Zelanda