临床医师非技术性能力与临床诊疗决策——以麻醉医师为例  

Clinicians' Non-technical Ability and Clinical Decision Making:anesthesiologist for example

作　　者：张锦英[1,2] 王昊[2] 

机构地区：[1]辽宁医学院麻醉学系,辽宁锦州121001 [2]辽宁医学院附属第一医院麻醉科,辽宁锦州121001

出　　处：《医学与哲学（B）》2016年第2期5-8,共4页Medicine & Philosophy(B)

基　　金：2015年度辽宁医学院教学改革研究项目;项目编号:2015041

摘　　要：临床诊疗决策是现代临床医学的重要内容。随着技术的快速发展,尤其是生物医学的研究成果,提升了对疾病的认识与治疗,人们似乎感觉技术可以实现无所不能的医疗效果。然而,事实并非如此,随着新医学模式的不断深化,单纯技术主导的临床决策逐渐显露出其不足,表现在科学证据的绝对性、决策思维的单维性、缺乏人际沟通能力和社会认知能力,忽视心理社会因素的介入,导致科学的临床决策出现非技术性的失误,这是对临床决策能力的一种新的挑战。因此,建立合理的临床决策不仅仅有赖于技术数据支持,更需要非技术性能力的参与,从而使临床决策更全面、更有效。Clinical decision making is an important content of modern clinical medicine. With the rapid development of technology, especially biomedical progress improve the understanding and treatment of disease, it seems that technology alone can solve all the medical problems. However, this is not the case, with the development of the new medical model, simple clinical decision based on technology gradually reveal its shortcomings, including absolute scientific evidence, one- dimensional decision thinking, lack of interpersonal communication skills and social cognitive ability, weakening of social and psychological factors. These lead to non-technical errors in scientific decision-making, which is a new challenge for the clinical decision-making ability. Therefore, the establishment of a reasonable clinical decision depends not only on the technical data support, but more on non-technical ability, in order to make clinical decisions more comprehensive and more effective.

关 键 词：临床医师 麻醉医师 非技术性能力 临床决策 

分 类 号：R-05[医药卫生] R614