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It also encompasses reliability as an individual clinician meaning at any given time or context, we apply the same process and principles to ensure the decisions we make do not deviate significantly from our peers or indeed our own past decisions. However, consistency in decision-making can be challenged when working within a busy healthcare system. We discuss the concept of \u2018noise\u2019 and explore how it affects decision-making in acute presentations of transient neurology where doctors can differ in terms of their diagnostic decisions.<\/jats:p>","DOI":"10.1177\/14782715231161500","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T03:45:20Z","timestamp":1678247120000},"page":"132-134","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Noise and transient ischaemic attacks \u2013 A challenge?"],"prefix":"10.1177","volume":"53","author":[{"given":"Tim","family":"Cassidy","sequence":"first","affiliation":[{"name":"St. Vincent\u2019s University Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Chapman","sequence":"additional","affiliation":[{"name":"St. Vincent\u2019s University Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,3,8]]},"reference":[{"key":"bibr1-14782715231161500","volume":"353","author":"Makary MA","year":"2016","journal-title":"Br Med J"},{"key":"bibr2-14782715231161500","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2013-002627"},{"key":"bibr3-14782715231161500","volume-title":"Improving Ddiagnosis in Health Care","author":"National Academies of Sciences, Engineering, and Medicine","year":"2015"},{"key":"bibr4-14782715231161500","volume-title":"Advances in Experimental and Social Psychology","author":"Dunning D"},{"key":"bibr5-14782715231161500","volume-title":"Noise: A Flaw in Human Judgement","author":"Kahneman D","year":"2021"},{"key":"bibr6-14782715231161500","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.22.2901"},{"key":"bibr7-14782715231161500","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000080935.01264.91"},{"key":"bibr8-14782715231161500","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.37991.635266.44"},{"key":"bibr9-14782715231161500","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000129482.70315.2F"},{"key":"bibr10-14782715231161500","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1412981"},{"key":"bibr11-14782715231161500","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.114.008632"},{"key":"bibr12-14782715231161500","volume":"26","author":"Prabharkaran S","year":"2008","journal-title":"Cerebrovascular Dis"},{"key":"bibr13-14782715231161500","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2008.01.001"},{"key":"bibr14-14782715231161500","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.1.1"},{"key":"bibr15-14782715231161500","doi-asserted-by":"publisher","DOI":"10.1093\/clinchem\/39.7.1468"},{"key":"bibr16-14782715231161500","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e3181ace703"},{"key":"bibr17-14782715231161500","doi-asserted-by":"publisher","DOI":"10.1515\/dx-2020-0128"},{"key":"bibr18-14782715231161500","volume-title":"What Intelligence Tests Miss: The Psychology of Rational Thought","author":"Stanovich K","year":"2009"},{"key":"bibr19-14782715231161500","doi-asserted-by":"publisher","DOI":"10.1037\/h0037613"},{"key":"bibr20-14782715231161500","volume":"133","author":"Kleinberg J","year":"2018","journal-title":"Q J Econ"},{"key":"bibr21-14782715231161500","doi-asserted-by":"publisher","DOI":"10.1016\/j.obhdp.2018.12.005"}],"container-title":["Journal of the Royal College of Physicians of Edinburgh"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14782715231161500","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14782715231161500","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14782715231161500","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T05:56:14Z","timestamp":1777701374000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14782715231161500"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,8]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1177\/14782715231161500"],"URL":"https:\/\/doi.org\/10.1177\/14782715231161500","relation":{},"ISSN":["1478-2715","2042-8189"],"issn-type":[{"value":"1478-2715","type":"print"},{"value":"2042-8189","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,8]]}}}