Incorporating metacognition into morbidity and mortality rounds: The next frontier in quality improvement
Address for correspondence: Dr. Allan Detsky, MD, Mount Sinai Hospital, Room 429, 600 University Ave., Toronto, Ontario M5G 1X5, Canada; Telephone: 416‐586‐8507; Fax: 416‐586‐8350; E‐mail: email@example.com
This Perspective proposes the introduction of metacognition (thinking about thinking) into the existing format of hospital‐based morbidity and mortality rounds. It is placed in the context of historical movements to advance quality improvement by expanding the spectrum of the causes of medical error from systems‐based issues to flawed human decision‐making capabilities. We suggest that the current approach that focuses on systems‐based issues can be improved by exploiting the opportunities to educate physicians about predictable errors committed by reliance on cognitive heuristics. In addition, because the field of educating clinicians about cognitive heuristics has shown mixed results, this proposal represents fertile ground for further research. Educating clinicians about cognitive heuristics may improve metacognition and perhaps be the next frontier in quality improvement. Journal of Hospital Medicine 2016;11:120–122. © 2015 Society of Hospital Medicine
We noticed you have an ad blocker enabled. Please whitelist us so we can continue to provide free content.