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A portable mnemonic to facilitate checking for cognitive errors.

Keng Sheng Chew1, Jeroen van Merriënboer2, Steven J Durning3

  • 1Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia. kschew@unimas.my.

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Summary
This summary is machine-generated.

Clinicians can use the TWED checklist, a portable mnemonic tool, to help reduce cognitive errors in patient care, especially during high-stress situations. This checklist aids in systematic decision-making to improve clinical practice.

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Area of Science:

  • Medical Education
  • Clinical Decision Making
  • Patient Safety

Background:

  • Clinicians' intentions to reduce cognitive errors may fail under heavy workloads or interruptions.
  • Portable tools like checklists can facilitate the implementation of error-reduction strategies.

Purpose of the Study:

  • To develop and evaluate a mnemonic checklist to aid clinicians in reducing cognitive errors.
  • To create a portable tool for activating implementation intentions for cognitive error checking.

Main Methods:

  • A two-stage approach combining qualitative and quantitative methods was employed.
  • Development involved literature review and expert consultation; evaluation used expert panel judgment for content validity.

Main Results:

  • The TWED checklist (Threat, Wrong/What else, Evidences, Dispositional factors) was developed.
  • Content validity was rated highly (kappa 0.65-1.0), and the checklist was deemed comprehensive for activating cognitive error checking.

Conclusions:

  • The TWED checklist is a portable mnemonic tool for activating cognitive error checking in clinical settings.
  • Its mnemonic structure and brevity facilitate recall and application in daily practice.