PATIENT SAFETY NOW

PROVIDING A REFRESHING VIEW OF SAFETY

The worst biases for patient safety

As humans we are filled with biases. The way we perceive people, make judgements about what we see rather than what we know. The things that are within us even though we are not totally aware that they exist. There are a number of biases that impact on patient safety. You can simple search via AI and this is what you get:

Confirmation Bias: Favouring information that confirms preexisting beliefs or values

Anchoring Bias: Relying too heavily on the first piece of information encountered (the “anchor”)

Availability Heuristic: Overestimating the importance of information that is readily available or recent

Hindsight Bias: Seeing events as having been predictable after they have already occurred

Fundamental Attribution Error: Overemphasising personality traits over situational factors when judging others’ behaviours

Ingroup Bias: Favouring people who belong to the same group as oneself

Halo Effect: Letting an overall impression of a person influence thoughts about their specific traits

Horn Effect: Allowing a negative impression of a person to influence thoughts about their specific traits

Groupthink: Prioritising harmony and conformity within a group over realistic appraisal of alternatives

Bandwagon Effect: Doing something primarily because others are doing it

Authority Bias: Valuing the opinions of an authority figure more than one’s own judgment

Status Quo Bias: Preferring things to stay the same over change

Gambler’s Fallacy: Believing that future probabilities are influenced by past events in a random process.

False Memory: Remembering something that did not happen or that happened differently from the way it actually occurred

Recency Effect: Remembering the most recently presented information best

Primacy Effect: Remembering the first presented information best

Misinformation Effect: The alteration of memories due to misleading post-event information

Rosy Retrospection: Remembering past events as being more positive than they were

Just-World Hypothesis: Believing that the world is just and people get what they deserve

Illusory Correlation: Perceiving a relationship between variables even when no such relationship exists

Stereotyping: Generalizing characteristics to all members of a group

Implicit Bias: Holding unconscious associations about certain groups of people

Contrast Effect: Enhancing or diminishing the perception of something when compared with a recent similar object

I cannot stress enough how important it is for these to be understood by anyone who is responsible for scrutinising others, judging others, investigating others, doing any sort of systems analysis or being part of any inquiry whether it be in terms of patient safety and or a staff complaint or issue.

Know you will influence yourself.

Run through these like a checklist and ask are they impacting on my thinking or my judgement of the incident, situation, circumstance, or person.