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Documentation of Nursing Diagnosis

The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
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Related Experiment Video

Updated: May 20, 2026

Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence
10:52

Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence

Published on: December 23, 2022

Premature diagnostic closure: an avoidable type of error.

M Vázquez-Costa1, A M Costa-Alcaraz

  • 1Grupo de Investigación en Bioética de la Universidad de Valencia (GIBUV), Valencia, Spain. vazquezcosta@gmail.com

Revista Clinica Espanola
|July 24, 2012
PubMed
Summary

Clinical diagnosis relies on interviews, but cognitive shortcuts, like premature closure, often lead to errors, especially under pressure. Recognizing these shortcuts is key to improving diagnostic accuracy and patient safety.

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Area of Science:

  • Cognitive psychology
  • Clinical reasoning
  • Medical diagnosis

Background:

  • Effective clinical interviews are crucial for accurate diagnosis.
  • Cognitive psychology highlights human error in complex decision-making, particularly in diagnosis with limited time or resources.
  • Cognitive shortcuts are a primary cause of clinical reasoning failures.

Purpose of the Study:

  • To identify cognitive shortcuts that lead to diagnostic errors.
  • To understand the role of premature closure in diagnostic mistakes.
  • To propose strategies for reducing cognitive errors in clinical practice.

Main Methods:

  • Review of cognitive psychology principles related to decision-making.
  • Analysis of common cognitive shortcuts in clinical reasoning.
  • Identification of premature closure as a significant factor in diagnostic errors.

Main Results:

  • Cognitive shortcuts, such as premature closure, are predictable causes of diagnostic errors.
  • Awareness of these shortcuts is the first step toward error prevention.
  • Strategies can be learned to mitigate the impact of cognitive biases.

Conclusions:

  • Diagnostic errors are often rooted in cognitive shortcuts.
  • Understanding and identifying cognitive shortcuts are essential for improving diagnostic accuracy.
  • Implementing strategies to avoid or minimize cognitive errors can enhance patient safety.