Society for Maternal-Fetal Medicine Special Statement: Cognitive bias and medical error in obstetrics—challenges and opportunities

SMFM, F Atallah, RF Hamm, CM Davidson, CA Combs, Patient Safety and Quality Committee2022

SMFM, F Atallah, RF Hamm, CM Davidson, CA Combs, Patient Safety and Quality Committee — 2022

The processes of diagnosis and management involve clinical decision-making. However, decision-making is often affected by cognitive biases that can lead to medical errors. This statement presents a framework of clinical thinking and decision-making and shows how these processes can be bias-prone. We review examples of cognitive bias in obstetrics and introduce debiasing tools and strategies. When an adverse event or near miss is reviewed, the concept of a cognitive autopsy—a root cause analysis of medical decision-making and the potential influence of cognitive biases—is promoted as part of the review process. Finally, areas for future research on cognitive bias in obstetrics are suggested. 

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SMFM Statement