Morpheme Transposition of Two-Character Chinese Words in Vertical Visual Fields.

The present study explored the morpheme transposition process of two-character Chinese words in the upper and lower visual fields by adopting a dual-target rapid serial visual presentation paradigm. The results showed that the identification accuracy of canonical words was better in the lower visual field, whereas the accuracy of transposed words was almost identical in the upper and lower visual fields. Furthermore, there was no significant difference between canonical and transposed words at 0°, 2°, 4°, and 6° eccentricities in the upper visual field. However, the accuracy of canonical words was markedly higher than that of transposed words at 2°, 4°, and 6° eccentricities in the lower visual field. Finally, the character order errors mainly occurred at 0°eccentricity with a duration of 100 ms in vertical visual fields. These findings, taken together, indicated that the character transposition affected the lexical process of two-character Chinese words in the lower visual field but not in the upper visual field, and the character order of words was more likely to be reversed at 0° eccentricity and the initial stage of visual word processing in vertical reading.

Illusions of integration are subjectively impenetrable: Phenomenological experience of Lag 1 percepts during dual-target RSVP.

We investigated the relationship between different kinds of target reports in a rapid serial visual presentation task, and their associated perceptual experience. Participants reported the identity of two targets embedded in a stream of stimuli and their associated subjective visibility. In our task, target stimuli could be combined together to form more complex ones, thus allowing participants to report temporally integrated percepts. We found that integrated percepts were associated with high subjective visibility scores, whereas reports in which the order of targets was reversed led to a poorer perceptual experience. We also found a reciprocal relationship between the chance of the second target not being reported correctly and the perceptual experience associated with the first one. Principally, our results indicate that integrated percepts are experienced as a unique, clear perceptual event, whereas order reversals are experienced as confused, similar to cases in which an entirely wrong response was given.

Quantifying and Reducing Errors in Vascular Imaging Examination Orders Through a Multistage Quality Improvement Intervention.

PURPOSE: The aims of this study were to quantify order error rates for vascular imaging examinations and to assess the effects of a multistage quality improvement intervention on those rates. METHODS: In this prospective, institutional review board-exempt project at a large academic quaternary care hospital, the authors aimed to quantify and reduce the order error rate by 50%. The authors analyzed 844 orders for all vascular imaging examinations placed before the intervention (July 19 to August 1, 2021, and September 13 to September 26, 2021), after an intervention in the cardiac surgery department consisting of a new customized order option in the electronic health record for routine preoperative patients (postintervention 1, February 28 to March 27, 2022); and after an educational and feedback campaign (postintervention 2, May 23 to June 5, 2022). Incorrect orders were identified by a radiology trainee during protocoling if the reasons for ordered examination and imaging examination were discordant and subsequently confirmed with the ordering provider. The primary outcome, order error rate, was compared across the project periods using the χ2 test and by ordering department using the χ2 and Fisher exact tests. RESULTS: The preintervention order error rate of 16% (50 of 306) decreased by 83% to 3% (10 of 353) at postintervention 1 (P < .001) and was durable at 3% (6 of 185) by project end. Chest CT with or without contrast constituted the majority of incorrect orders (44%, 22 of 50); "Pre-Op" was the most common examination reason (32% [16 of 50]). Cardiac surgery orderers were responsible for the most incorrect orders (32% [16 of 50]). All four most common ordering departments, including cardiac surgery, reduced their order error rates after the intervention (P < .001). CONCLUSIONS: Incorrect orders for imaging examinations can be reduced through targeted quality improvement interventions combining tailored electronic health record order options with education and feedback on practice habits.

Time-Order Errors in Duration Judgment Are Independent of Spatial Positioning.

Time-order errors (TOEs) occur when the discriminability between two stimuli are affected by the order in which they are presented. While TOEs have been studied since the 1860s, it is unknown whether the spatial properties of a stimulus will affect this temporal phenomenon. In this experiment, we asked whether perceived duration, or duration discrimination, might be influenced by whether two intervals in a standard two-interval method of constants paradigm were spatially overlapping in visual short-term memory. Two circular sinusoidal gratings (one standard and the other a comparison) were shown sequentially and participants judged which of the two was presented for a longer duration. The test stimuli were either spatially overlapping (in different spatial frames) or separate. Stimulus order was randomized between trials. The standard stimulus lasted 600 ms, and the test stimulus had one of seven possible values (between 300 and 900 ms). There were no overall significant differences observed between spatially overlapping and separate stimuli. However, in trials where the standard stimulus was presented second, TOEs were greater, and participants were significantly less sensitive to differences in duration. TOEs were also greater in conditions involving a saccade. This suggests there is an intrinsic memory component to two interval tasks in that the information from the first interval has to be stored; this is more demanding when the standard is presented in the second interval. Overall, this study suggests that while temporal information may be encoded in some spatial form, it is not dependent on visual short-term memory.

Preventing Genetic Testing Order Errors With a Laboratory Utilization Management Program.

OBJECTIVES: To characterize error rates for genetic test orders between medical specialties and in different settings by examining detailed order information. METHODS: We performed a retrospective analysis of a detailed utilization management case database, comprising 2.5 years of data and almost 1,400 genetic test orders. After review by multiple reviewers, we categorized order modifications and cancellations, quantified rates of positive results and order errors, and compared genetics with nongenetics providers and inpatient with outpatient orders. RESULTS: High cost or problems with preauthorization were the most common reasons for modification and cancellation, respectively. The cancellation rate for nongenetics providers was three times the rate for geneticists, but abnormal result rates were similar between the two groups. The approval rate for inpatient orders was not significantly lower than outpatient orders, and abnormal result rates were similar for these two groups as well. Order error rates were approximately 8% among tests recommended by genetics providers in the inpatient setting, and tests ordered or recommended by nongeneticists had error rates near 5% in both inpatient and outpatient settings. CONCLUSIONS: Clinicians without specialty training in genetics make genetic test order errors at a significantly higher rate than geneticists. A laboratory utilization management program prevents these order errors from becoming diagnostic errors and reaching the patient.

The effect of speaking rate on serial-order sound-level errors in normal healthy controls and persons with aphasia.

BACKGROUND: Although many speech errors can be generated at either a linguistic or motoric level of production, phonetically well-formed sound-level serial-order errors are generally assumed to result from disruption of phonologic encoding (PE) processes. An influential model of PE (Dell, 1986; Dell, Burger & Svec, 1997) predicts that speaking rate should affect the relative proportion of these serial-order sound errors (anticipations, perseverations, exchanges). These predictions have been extended to, and have special relevance for persons with aphasia (PWA) because of the increased frequency with which speech errors occur and because their localization within the functional linguistic architecture may help in diagnosis and treatment. Supporting evidence regarding the effect of speaking rate on phonological encoding has been provided by studies using young normal language (NL) speakers and computer simulations. Limited data exist for older NL users and no group data exist for PWA. AIMS: This study tested the phonologic encoding properties of Dell's model of speech production (Dell, 1986; Dell,et al., 1997), which predicts that increasing speaking rate affects the relative proportion of serial-order sound errors (i.e., anticipations, perseverations, and exchanges). METHODS & PROCEDURES: The effects of speech rate on the error ratios of anticipation/exchange (AE), anticipation/perseveration (AP) and vocal reaction time (VRT) were examined in 16 normal healthy controls (NHC) and 16 PWA without concomitant motor speech disorders. The participants were recorded performing a phonologically challenging (tongue twister) speech production task at their typical and two faster speaking rates. OUTCOMES & RESULTS: A significant effect of increased rate was obtained for the AP but not the AE ratio. Significant effects of group and rate were obtained for VRT. CONCLUSION: Although the significant effect of rate for the AP ratio provided evidence that changes in speaking rate did affect PE, the results failed to support the model derived predictions regarding the direction of change for error type proportions. The current findings argued for an alternative concept of the role of activation and decay in influencing types of serial-order sound errors. Rather than a slow activation decay rate (Dell, 1986), the results of the current study were more compatible with an alternative explanation of rapid activation decay or slow build-up of residual activation.

Character Decomposition and Transposition of Chinese Compound Words in the Right and Left Visual Fields.

This study investigated the character decomposition and transposition processes of Chinese two-character compound words (canonical and transposed words) and pseudowords in the right and left visual fields using a dual-target rapid serial visual presentation paradigm. The results confirmed a right visual field superiority for canonical words, but this advantage vanished for transposed words. The findings further indicated that the same quality of lexical processing could be obtained from the foveal and parafoveal regions of the right and left visual fields, regardless of the character order, but not in the periphery of the right visual field. Moreover, the proportion of order reversals peaked at the central position and the shortest exposure time, but it declined with increasing eccentricity and time interval. We concluded that the character transposition of Chinese compound words was significantly sensitive in the periphery of the right visual field. Furthermore, the character order errors were mainly encoded in the foveal vision with a duration of 100 ms, which suggested that the order of the foveally presented Chinese characters was more likely to be reversed at the early stage of visual word processing.

How do subvocal rehearsal and general attentional resources contribute to verbal short-term memory span?

Whether rehearsal has a causal role in verbal STM has been controversial in the literature. Recent theories of working memory emphasize a role of attentional resources, but leave unclear how they contribute to verbal STM. Two experiments (with 49 and 102 adult participants, respectively) followed up previous studies with children, aiming to clarify the contributions of attentional capacity and rehearsal to verbal STM. Word length and presentation modality were manipulated. Experiment 1 focused on order errors, Experiment 2 on predicting individual differences in span from attentional capacity and articulation rate. Structural equation modeling showed clearly a major role of attentional capacity as a predictor of verbal STM span; but was inconclusive on whether rehearsal efficiency is an additional cause or a consequence of verbal STM. The effects of word length and modality on STM were replicated; a significant interaction was also found, showing a larger modality effect for long than short words, which replicates a previous finding on children. Item errors occurred more often with long words and correlated negatively with articulation rate. This set of findings seems to point to a role of rehearsal in maintaining item information. The probability of order errors per position increased linearly with list length. A revised version of a neo-Piagetian model was fit to the data of Experiment 2. That model was based on two parameters: attentional capacity (independently measured) and a free parameter representing loss of partly-activated information. The model could partly account for the results, but underestimated STM performance of the participants with smaller attentional capacity. It is concluded that modeling of verbal STM should consider individual and developmental differences in attentional capacity, rehearsal rate, and (perhaps) order representation.