放弃指挥棒:紧急医生的认知偏见
Mingwei Ng1, Evelyn Wong1, Guek Gwee Sim2
1Department of Emergency Medicine, Singapore General Hospital, Singapore, Singapore.
PloS one
|January 2, 2025
概括
社会文化压力和团队认知问题导致急诊医生的认知偏见和医疗错误. 解决这些以团队为基础的因素对于改善所有医学专业的患者安全至关重要.
科学领域:
- 临床医学 临床医学
- 认知心理学 认知心理学
- 医疗保健管理的管理
背景情况:
- 医疗保健的复杂性需要基于团队的方法.
- 分布式认知强调了外在世界背景对于理解错误的重要性.
- 有限的定性研究存在于临床环境中的基于团队的认知偏见.
研究的目的:
- 探索社会文化影响和团队认知如何影响急诊医生 (EP) 的认知偏见和错误.
主要方法:
- 建设主义范式和反射的主题分析.
- 七个焦点小组讨论与25个故意采样的EP.
- 来自学术界的定性方法指导.
主要成果:
- 社会文化压力迫使欧洲议会成员盲目信任同事.
- 文化规范鼓励欧洲议会在移交期间过度简化案件.
- 按照常规智慧和协议的压力阻碍了具有挑战性的专家.
结论:
- 分布式团队认知的缺陷有助于认知偏见和临床错误.
- 这些发现适用于所有医学专业,而不仅仅是急诊医学.
- 紧急医学的过敏性质放大了这些以团队为基础的认知挑战.
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