Document Detail

Aviation model cognitive risk factors applied to medical malpractice cases.
MedLine Citation:
PMID:  17090796     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Aviation accidents have been reduced substantially by training pilots to avoid high-risk behaviors caused by cognitive errors. To determine whether similar cognitive cause factors or errors are involved in medical malpractice cases, and to evaluate the reliability of identifying such factors, physicians reviewed state and federal malpractice cases in a legal database. METHOD: Reviewing physicians evaluated 30 cases meeting inclusion criteria from state and federal malpractice cases for the year 2004 in the 8th US Circuit Court of Appeals region, using criteria for cognitive factors derived from aviation. The cases were categorized into three classes based on the degree of agreement between the reviewers. The results as to prevalence of the factors and reliability of identifying the factors were then analyzed statistically. RESULTS: Fifty-nine percent of the cases met criteria for strong and good correlation with the factors. Cognitive factors involving IMSAFE (illness, medications, stress, alcohol, physiogical (f), and emotional) and medical team management/leadership can be reliably identified. Other factors, such as hazardous attitudes and loss of situational awareness, were identified with minimal reliability. CONCLUSION: The aeronautical cognitive causative approach can be translated into a medical approach to reliably identify cognitive causes of errors in a significant proportion of medical malpractice cases from a legal database.
Stephen C Stripe; Lyle G Best; Shirley Cole-Harding; Bryce Fifield; Farzin Talebdoost
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Board of Family Medicine : JABFM     Volume:  19     ISSN:  1557-2625     ISO Abbreviation:  -     Publication Date:    2006 Nov-Dec
Date Detail:
Created Date:  2006-11-08     Completed Date:  2007-01-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101256526     Medline TA:  J Am Board Fam Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  627-32     Citation Subset:  IM    
Center for Family Medicine Minot, University of North Dakota, School of Medicine and Health Sciences, Minot, ND 58701, USA.
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MeSH Terms
Accidents, Aviation*
Medical Audit
Medical Errors
Models, Psychological
Risk Management*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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