紧急医疗中的决策疲劳:对其有效性的探索
Sankalp Yadav1, Gautam Rawal2, Madhan Jeyaraman3
1Medicine, Shri Madan Lal Khurana Chest Clinic, New Delhi, IND.
Cureus
|January 30, 2024
概括
紧急医生的决策疲劳是有争议的. 虽然一些研究将复杂的决策与疲劳联系起来,但其对临床判断质量的影响仍然不确定,经验和培训可能会减轻.
科学领域:
- 医学实践 医学实践
- 认知科学 认知科学
- 医疗保健管理的管理
背景情况:
- 紧急医生在高风险,快节奏的环境中工作,需要不断的决策.
- 决策疲劳,即在多次选择后决策质量下降,是医疗保健中日益关注的问题.
研究的目的:
- 审查有关紧急医生的决策疲劳现有文献.
- 为了评估决策疲劳是有效的担忧还是紧急医疗实践中的神话.
主要方法:
- 这项研究对当前关于紧急医疗决策疲劳的研究进行了叙事性审查.
- 审查综合了关于决策负载,疲劳和临床判断之间的相关性发现.
主要成果:
- 一些研究表明,轮班决策的数量和复杂性与自我报告疲劳的增加之间存在相关性.
- 然而,这种疲劳对临床决策的实际质量的影响是不确定的,一些研究没有发现明确的联系.
- 诸如医生经验,培训和支持系统等因素可能会减轻决策疲劳.
结论:
- 决策疲劳对急诊医生的临床决策质量的影响需要进一步研究.
- 虽然注意到自我报告的疲劳,但其与紧急情况下判断力受损的明确联系尚未被确立.
- 决策疲劳可能是通过经验和支持性结构在紧急医疗中可以管理的现象.
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