[Skip to Content]
[Skip to Content Landing]
Article
August 14, 1991

Effects of Outcome on Physicians' Judgment of Appropriateness of Care

Author Affiliations

The Ohio State University Department of Industrial and Systems Engineering Columbus

The Ohio State University Department of Industrial and Systems Engineering Columbus

JAMA. 1991;266(6):793-794. doi:10.1001/jama.1991.03470060055012
Abstract

To the Editor.  —Caplan et al1 showed an outcome bias in physician evaluations of patient care. In research on error, it is critical to distinguish outcome failures from deficiencies or defects in the decision-making or problem-solving process.Not all defects in decision processes are associated with bad outcomes; other factors may be necessary for the defect to propagate along a chain of negative consequences.2 Conversely, bad outcomes can occur despite good decisions, ie, despite complete and thorough consideration of all of the available information, goals, and contributing factors.3 Appreciating this fundamental aspect of human decision behavior is critical for

Guidelines for Letters  Letters will be published at the discretion of the editor as space permits and subject to editing and abridgment. They should be typewritten double-spaced and submitted in duplicate. They should not exceed 500 words of text. References, if any, should be held to a minimum,

×