RT Journal Article
T1 [Effect of the use of heuristics on diagnostic error in Primary Care: Scoping review].
T2 Uso de heurísticos y error diagnóstico en Atención Primaria: revisión panorámica.
A1 Minué-Lorenzo, Sergio
A1 Fernández-Aguilar, Carmen
A1 Martín-Martín, José Jesús
A1 Fernández-Ajuria, Alberto
K1 Atención Primaria
K1 Behavioral economics
K1 Clinical decision
K1 Decisión clínica
K1 Diagnostic error
K1 Economía del comportamiento
K1 Error diagnóstico
K1 Heuristics
K1 Heurísticos
K1 Primary Care
AB To assess the use of representativeness, availability, overconfidence, anchoring and adjustment heuristics in clinical practice, specifically in Primary Care setting. Panoramic review (scope review). OvidMedline, Scopus, PsycoINFO, Cochrane Library and PubMed databases. Each one of the selected studies was reviewed applying TIDIER criteria (Template for Description of the Intervention and Replication) to facilitate their understanding and replicability. A total of 48 studies were selected that analyzed availability heuristics (26), anchoring and adjustment (9), overconfidence (9) and representativeness (8). From the 48 studies selected, 26 analyzed availability heuristics, 9 anchoring and adjustment, 9 overconfidence; and 8 representativeness. The study population included physicians (35.4%), patients (27%), trainees (20.8%), nurses (14.5%) and students (14.5%). The studies conducted in clinical practice setting were 17 (35.4%). In 33 of the 48 studies (68,7%) it was observed heuristic use in the population studied. Heuristics use on diagnostic process was found in 27 studies (54.1%); 5 of them (18%) were carried out in clinical practice setting. Of the 48 studies, 6 (12,5%) were performed in Primary Care, 3 of which studied diagnostic process: only one of them analyzed the use of heuristics in clinical practice setting, without demonstrating bias as consequence of the use of heuristic. The evidence about heuristic use in diagnostic process on clinical practice setting is limited, especially in Primary Care.
YR 2019
FD 2019-01-31
LK http://hdl.handle.net/10668/13502
UL http://hdl.handle.net/10668/13502
LA es
DS RISalud
RD Apr 7, 2025