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Updated: May 10, 2025

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手术环境中的认知偏见和启发式:系统性审查
Holly Aylmore1, Srishti Agarwal2, Hani J Marcus3,4
1UCL Queen Square Institute of Neurology, London, United Kingdom.
Annals of surgery
|April 21, 2025
概括
手术中的认知偏差会导致错误并损害患者的护理. 通过像正念这样的策略来解决这些思维错误,可以减少手术错误并改善结果.
科学领域:
- 医疗决策的制定能力
- 认知心理学 认知心理学
- 外科手术的安全性
背景情况:
- 认知偏见和启发式思维是影响临床决策的系统思维错误.
- 这些偏见在手术环境中很普遍,对患者的安全构成风险.
- 了解这些认知现象对于改善手术实践至关重要.
研究的目的:
- 在手术环境中系统地审查外科医生的认知偏见和启发式.
- 确定这些偏见对患者护理和手术结果的影响.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 从创立到2024年1月,搜索了五个主要数据库.
- 包括英语原始初级研究,评估偏见风险.
主要成果:
- 在21项研究中确定了38种认知偏见.
- 确认偏见,定,风险厌恶和过度自信偏见是最常见的.
- 偏见在六项研究中对患者护理产生了负面影响,其中一个与偏见相关的致命结果.
结论:
- 认知偏差有助于手术错误和从未发生的事件.
- 清除偏见的策略,如正念和反思,有望减少错误.
- 需要进一步的实验研究来了解偏见机制和评估干预措施.
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