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  • Publication
    Métadonnées seulement
    Explicit Reasoning, Confirmation Bias, and Illusory Transactive Memory A Simulation Study of Group Medical Decision Making
    (2009) ;
    Semmer, Norbert
    ;
    Gurtner, Andrea
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    Bizarri, Lara
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    Spychiger, Martin
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    Breuer, Marc
    ;
    Marsch, Stephan
    Teamwork is important in medicine, and this includes team-based diagnoses. The influence of communication on diagnostic accuracy in an ambiguous situation was investigated in an emergency medical simulation. The situation was ambiguous in that some of the patient's symptoms suggested a wrong diagnosis. Of 20 groups of physicians, 6 diagnosed the patient, 8 diagnosed with help, and 6 missed the diagnosis. Based on models of decision making, we hypothesized that accurate diagnosis is more likely if groups (a) consider more information, (b) display more explicit reasoning, and (c) talk to the room. The latter two hypotheses were supported. Additional analyses revealed that physicians often failed to report pivotal information after reading in the patient chart. This behavior suggested to the group that the chart contained no critical information. Corresponding to a transactive memory process, this process results in what we call illusory transactive memory. The plausible but incorrect diagnosis implied that the two lungs should sound differently. Despite objectively identical sounds, some physicians did hear a difference, indicating confirmation bias. Training physicians in explicit reasoning could enhance diagnostic accuracy.
  • Publication
    Métadonnées seulement
    Validation of the French version of the team reflexivity scale of Carter and West, 1998
    (2006)
    Facchin, Stephanie
    ;
    ;
    Gurtner, Andrea
    ;
    Cohen, Dalia
    ;
    Dupuis, Annick
    Several studies found reflexivity -the extent to which team discuss objectives, strategies and processes and adapt them to changes- to be related to team efficacy. Two studies were conducted with 80 teams (320 participants) to validate French version of reflexivity scale. In study 1 exploratory factor analysis revealed 3 factors which partly confirms the 2 factor structure (task reflexivity and social reflexivity) expected from the original study (Carter and West, 1998). Two items of the original task reflexivity scale load on a third factor we named strategic reflexivity. The three factor structure was replicated in study 2 with confirmatory factor analysis. Criterion validity is proved by correlations between reflexivity and team performance. Task, social and strategic reflexivity correlate with different aspects of team effectiveness. The French version of reflexivity scale is reliable and appropriate for evaluating team reflexivity. (c) 2006 Association internationale de psychologie du travail de langue francaise. Publie par Elsevier Masson SAS. Tons droits reserves.