Ten misconceptions regarding decision-making in critical care  

作　　者：Tara Ramaswamy Jamie L Sparling Marvin G Chang Edward A Bittner 

机构地区：[1]Department of Anesthesiology,Perioperative and Pain Medicine,Stanford University School of Medicine,Stanford,CA 94305,United States [2]Department of Anesthesia,Critical Care and Pain Medicine,Massachusetts General Hospital,Harvard Medical School,Boston,MA 02114,United States

出　　处：《World Journal of Critical Care Medicine》2024年第2期72-82,共11页世界重症医学杂志

摘　　要：Diagnostic errors are prevalent in critical care practice and are associated with patient harm and costs for providers and the healthcare system.Patient complexity,illness severity,and the urgency in initiating proper treatment all contribute to decision-making errors.Clinician-related factors such as fatigue,cognitive overload,and inexperience further interfere with effective decision-making.Cognitive science has provided insight into the clinical decision-making process that can be used to reduce error.This evidence-based review discusses ten common misconceptions regarding critical care decision-making.By understanding how practitioners make clinical decisions and examining how errors occur,strategies may be developed and implemented to decrease errors in Decision-making and improve patient outcomes.

关 键 词：Clinical reasoning Cognitive bias Critical care Debiasing strategies decision making Diagnostic reasoning Diagnostic error HEURISTICS Medical knowledge Patient safety 

分 类 号：R542.2[医药卫生—心血管疾病]