The hindsight bias manifests in the tendency to exaggerate the extent to which a past event could have been predicted beforehand. This bias has particularly detrimental effects in the domain of medical decision making. I present a demonstration of the bias, its contribution to overconfidence, and its involvement in judgments of medical malpractice. Finally, I point out that physicians and psychologists can collaborate to the mutual benefit of both professions.
ArkesH. R.FaustD.GuilmetteT. J.HartK. (1988). Eliminating the hindsight bias. Journal of Applied Psychology, 73, 305–307. doi:10.1037/0021-9010.73.2.305
2.
ArkesH. R.ShafferV. A.MedowM. A. (2008). The influence of a physician’s use of a diagnostic decision aid on the malpractice verdicts of mock jurors. Medical Decision Making, 28, 201–208. doi:10.1177/0272989X07313280
3.
DawesR. M.FaustD.MeehlP. E. (1989). Clinical versus actuarial judgment. Science, 243, 1668–1674. doi:10.1126/science.2648573
4.
DawsonN. V.ArkesH. R.SicilianoC.BlinkhornR.LakshmananM.PetrelliM. (1988). Hindsight bias: An impediment to accurate probability estimation in clinicopathologic conferences. Medical Decision Making, 8, 259–264. doi:10.1177/0272989X8800800406
5.
DawsonN. V.ConnorsA. F.Jr.SperoffT.KemkaA.ShawP.ArkesH. R. (1993). Hemodynamic assessment in the critically ill: Is physician confidence warranted?Medical Decision Making, 13, 258–266. doi:10.1177/0272989X9301300314
6.
FischhoffB. (1975). Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psychology: Human Perception and Performance, 1, 288–299. doi:10.1037/0096-1523.1.3.288
7.
Garcia-RetameroR.GalesicM. (2010). How to reduce the effect of framing on messages about health. Journal of General Internal Medicine, 25, 1323–1329. doi:10.1007/s11606-010-1484-9
8.
GigerenzerG. (2002). Insight. In Calculated risks (pp. 39–54) New York, NY: Simon & Schuster.
9.
HertwigR.BarronG.WeberE. U.ErevI. (2004). Decisions from experience and the effect of rare events in risky choice. Psychological Science, 15, 534–539.
10.
KoriatA.LichtensteinS.FischhoffB. (1980). Reasons for confidence. Journal of Experimental Psychology: Human Learning and Memory, 6, 107–118. doi:10.1037/0278-7393.6.2.107
11.
LordC. G.LepperM. R.PrestonE. (1984). Considering the opposite: A corrective strategy for social judgment. Journal of Personality and Social Psychology, 47, 1231–1243. doi:10.1037/0022-3514.47.6.1231
12.
SlovicP.FischhoffB. (1977). On the psychology of experimental surprises. Journal of Experimental Psychology: Human Perception and Performance, 3, 544–551.
13.
TaitA. R.Voepel-LewisT.Zikmund-FisherB. J.FagerlinA. (2010). The effect of format on parental understanding of the risks and benefits of clinical research: A comparison between text, tables, and graphs. Journal of Health Communication, 15, 487–501. doi:10.1080/10810730.2010.492560
14.
WegwarthO.GigerenzerG. (2011). Statistical illiteracy in doctors. In GigerenzerG.GrayJ. A. M. (Eds.), Better doctors, better patients, better decisions: Envisioning health care 2020 (pp. 137–151). Cambridge, MA: MIT Press.
15.
WoodG. (1978). The knew-it-all-along effect. Journal of Experimental Psychology: Human Perception and Performance, 4, 345–353. doi:10.1037/0096-1523.4.2.345
16.
YangH.ThompsonC. (2010). Nurses’ risk assessment judgements: A confidence calibration study. Journal of Advanced Nursing, 66, 2751–2760. doi:10.1111/j.1365-2648.2010.05437.x