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PubMed1992

The physician and employee judgment system: reliability and validity of a hospital quality measurement method.

Hospitals engaged in quality improvement must measure and assess customer perceptions of hospital services. Hospital customers are either "external"--patients, their families, and payers--or "internal"--physicians and hospital employees. This article describes two measurement systems designed to gather information from internal customers about the quality of hospital services. One system targets physicians, the other hospital employees. This article describes how these systems were developed and pilot-tested, and how the results were analyzed. Analysis of results showed the systems to be reliable, valid, and representative. The article also addresses limitations of the research (focus on general acute-care hospitals), interesting findings and implications (the correlation between physicians' and employees' ratings of hospital quality), and uses of these measures in corporate-level and hospital-level quality improvement (measuring trends and identifying specific opportunities for improvement).

Attitude of Health Personnel↗
PubMed2006

Reasoning under uncertainty: heuristic judgments in patients with persecutory delusions or depression.

OBJECTIVE: The substantial literature examining social reasoning in people with delusions has, to date, neglected the commonest form of decision making in daily life. We address this imbalance by reporting here the findings of the first study to explore heuristic reasoning in people with persecutory delusions. METHOD: People with active or remitted paranoid delusions, depressed and healthy adults performed two novel heuristic reasoning tasks that varied in emotional valence. RESULTS: The findings indicated that people with persecutory delusions displayed biases during heuristic reasoning that were most obvious when reasoning about threatening and positive material. Clear similarities existed between the currently paranoid group and the depressed group in terms of their reasoning about the likelihood of events happening to them, with both groups tending to believe that pleasant things would not happen to them. However, only the currently paranoid group showed an increased tendency to view other people as threatening. CONCLUSION: This study has initiated the exploration of heuristic reasoning in paranoia and depression. The findings have therapeutic utility and future work could focus on the differentiation of paranoia and depression at a cognitive level.

Adult↗
PubMed1999

Faulty judgment, expert opinion, and decision-making capacity.

An assessment of decision-making capacity is the accepted procedure for determining when a person is not competent. An inferential gap exists between the criteria for capacity specific abilities and the legal requirements to understand relevant information and appreciate the consequences of a decision. This gap extends to causal influences on a person's capacity to decide. Using a published case of depression, we illustrate that assessors' uses of diagnostic information is frequently not up to the task of bridging this inferential gap in a justifiable way. We then describe cases of faulty judgement which challenge the understanding of diagnostic causal influences. These cases help to clarify the nature of the expertise required for capacity assessments. In practice, the requirements of decision-making capacity are often abandoned to other considerations due to a lack of requisite expertise. The legal policy supporting decision-making capacity as a means to protective intervention is justified only if the requisite expertise is developed. We propose the requisite expertise to be developed in the long term as a distinct multidisciplinary endeavour.

Beneficence↗
PubMed2002

"He's guilty!": investigator bias in judgments of truth and deception.

Detecting deception is an inherently difficult task, but one that plays a critical role for law enforcement investigators in the interrogation room. In general, research has failed to indicate that performance in this domain is improved by training or prior experience. A signal detection framework is applied to the paradigm to better conceptualize the influence of these two factors. We found that although neither factor influenced discrimination accuracy, there was an effect on response bias such that training and prior experience appeared to increase the likelihood of responding "deceit" as opposed to "truth." This "investigator bias" was observed both in a review of the literature and in this study of North American law enforcement investigators who took part in a forensically based deception-detection task. Possible theoretical mechanisms and practical implications of these findings are discussed.

Analysis of Variance↗
PubMed2003

Impartial judgment by the "gatekeepers" of science: fallibility and accountability in the peer review process.

High publication demands and the low acceptance rate of peer review journals place the journal editors and their reviewers in a powerful position. Journal reviewers have a vital role not only in influencing the journal editor's publication decisions, but also in the very nature and direction of scientific research. Because of their influence in peer review outcomes, journal reviewers are aptly described as the "gatekeepers of science." In this article we describe several pitfalls that can impede reviewers' impartial judgement. These include such issues as confirmatory bias, the negative results bias (the file drawer problem), the Matthew effect, the Doctor Fox effect, and gender, race, theoretical orientation, and "political correctness." We argue that procedures currently used by many professional journals, such as blind or masked review, may not completely alleviate the effects of these pitfalls. Instead, we suggest that increasing reviewers' awareness of the pitfalls, accountability, and vigilance can improve fairness in the peer review process. The ultimate responsibilities belong to the journal editors who are confronted with the difficult task of satisfying journal readers, contributors, reviewers, and owners. We recommend that the journal editors conduct periodic internal and external evaluations of their journals' peer review process and outcomes, with participation of reviewers, contributors, readers and owners.

Judgment↗
PubMed2003

Judgments of grammaticality of Japanese sentences violating the principle of full interpretation.

Two experiments investigated the linguistic intuition of Japanese speakers in which they judged the grammaticality of sentences violating Chomsky's principle of Full Interpretation. Experiment 1 used bitransitive sentences, which included an extra argument that assumed a role of either subjective, dative, or objective on the one hand and that specified semantically a preceding argument or stood in par with it on the other. Findings showed that the speakers judged ungrammatical sentences involving a dative or an objective extra argument as more grammatical than those involving a subjective extra argument. Ungrammatical sentences with an extra specified argument were judged more grammatical than those with an extra par argument when the extra argument was objective. Experiment 2 used sentences that included a verbal noun (VN) comprising a noun followed by a verb, shita (did). Ungrammatical VN sentences contained two arguments given the same objective marker. These sentences were judged to be highly grammatical despite the violation of the principle. Findings suggest that speakers' actual knowledge of language is not fully consistent with the knowledge they are alleged by Chomsky to possess, including the principle of Full Interpretation.

Adolescent↗
PubMed2003

Strategic aspects of numerosity judgment: the effect of task characteristics.

In previous investigations we documented that people use several strategies to determine different numerosities of blocks that are presented in a square grid. One of these strategies is the clever subtraction strategy, wherein the number of empty squares in the grid is subtracted from the total number of squares in the grid. In the present study we investigated participants' flexibility in strategy use when varying the shape of the grid. Analysis of the results in terms of the theoretical framework of Lemaire and Siegler (1995) regarding strategic change shows that this contextual variable affected the frequency, execution time, and accuracy of subjects' use of the subtraction strategy. The usefulness of this framework for analyzing the nature of the adaptation to contextual variations is discussed. From a methodological point of view, this study documents the potential of Beem's (1993, 1999) segmented linear regression models for assessing subjects' strategy use in cognitive tasks.

Adaptation, Psychological↗
PubMed2002

The relation between hiding skill and judgment of eye direction in preschool children.

This study examines J. H. Flavell, S. G. Shipstead, and K. Croft's (1978) finding that 2 1/2-year-old children can hide an object behind a screen but cannot achieve the same result by placing the screen in front of the object. Experiment 1 replicated this finding alongside a task in which children judged what a person in a picture was looking at. Performance on the move-object task approached ceiling; performances on the move-screen and looking-where tasks were highly correlated even after age and control task performance were partialed out (r = .54, p < .01). Experiment 2 examined whether the finding resulted because the object was more interesting to manipulate than the screen. The move-object task remained easier than the move-screen task with an interesting screen and a dull object. The move-screen task again correlated specifically with the looking-where task. Results are explained in terms of engagement, a precursor to a mature understanding of attention.

Child, Preschool↗
PubMed2002

Confidence judgments in children's and adults' event recall and suggestibility.

The present work investigated the role of children's and adults' metacognitive monitoring and control processes for unbiased event recall tasks and for suggestibility. Three studies were conducted in which children and adults indicated their degree of confidence that their answers were correct after (Study 1) and before (Study 2) answering either unbiased or misleading questions or (Study 3) forced-choice recognition questions. There was a strong tendency for overestimation of confidence regardless of age and question format. However, children did not lack the principal metacognitive competencies when these questions were asked in a neutral interview. Under misleading questioning, in contrast, children's monitoring skills were seriously impaired. Within each age group, better metacognitive differentiation was positively associated with recall accuracy in the suggestive interview.

Adult↗