TY - JOUR
T1 - Reducing cognitive skill decay and diagnostic error
T2 - Theorybased practices for continuing education in health care
AU - Weaver, Sallie J.
AU - NewmanToker, David E.
AU - Rosen, Michael A.
PY - 2012/12/1
Y1 - 2012/12/1
N2 - Missed, delayed, or wrong diagnoses can have a severe impact on patients, providers, and the entire health care system. One mechanism implicated in such diagnostic errors is the deterioration of cognitive diagnostic skills that are used rarely or not at all over a prolonged period of time. Existing evidence regarding maintenance of effective cognitive reasoning skills in the clinical education, organizational training, and human factors literatures suggest that continuing education plays a critical role in mitigating and managing diagnostic skill decay. Recent models also underscore the role of system level factors (eg, cognitive decision support tools, justintime training opportunities) in supporting clinical reasoning process. The purpose of this manuscript is to offer a multidisciplinary review of cognitive models of clinical decision making skills in order to provide a list of best practices for supporting continuous improvement and maintenance of cognitive diagnostic processes through continuing education.
AB - Missed, delayed, or wrong diagnoses can have a severe impact on patients, providers, and the entire health care system. One mechanism implicated in such diagnostic errors is the deterioration of cognitive diagnostic skills that are used rarely or not at all over a prolonged period of time. Existing evidence regarding maintenance of effective cognitive reasoning skills in the clinical education, organizational training, and human factors literatures suggest that continuing education plays a critical role in mitigating and managing diagnostic skill decay. Recent models also underscore the role of system level factors (eg, cognitive decision support tools, justintime training opportunities) in supporting clinical reasoning process. The purpose of this manuscript is to offer a multidisciplinary review of cognitive models of clinical decision making skills in order to provide a list of best practices for supporting continuous improvement and maintenance of cognitive diagnostic processes through continuing education.
KW - Cognitive skill decay
KW - Diagnostic error
UR - http://www.scopus.com/inward/record.url?scp=84871648902&partnerID=8YFLogxK
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U2 - 10.1002/chp.21155
DO - 10.1002/chp.21155
M3 - Article
C2 - 23280530
AN - SCOPUS:84871648902
SN - 0894-1912
VL - 32
SP - 269
EP - 278
JO - Journal of Continuing Education in the Health Professions
JF - Journal of Continuing Education in the Health Professions
IS - 4
ER -