[手术中的认知偏见:可纠正的失败还是不可避免的人类?]
Jaap F Hamming1,2, Marieke A Adriaanse3
1Leids Universitair Medisch Centrum, afd. Heelkunde, Leiden.
Nederlands tijdschrift voor geneeskunde
|November 19, 2025
概括
认知偏见显著影响手术决策,导致并发症和死亡. 承认人类错误的现实干预措施对于改善临床判断和患者结果至关重要.
科学领域:
- 医疗决策的制定能力
- 医学中的认知心理学.
- 外科手术的安全性
背景情况:
- 认知偏见和启发式影响临床判断.
- 假设外科医生做出纯粹理性的决策是有缺陷的.
- 目前的干预措施往往无法解决人类决策的现实.
研究的目的:
- 审查认知偏见对手术并发症和死亡率的影响.
- 挑战临床医生应该或确实完全理性地行动的观念.
- 倡导在医疗决策中进行现实的干预.
主要方法:
- 对外科手术中的认知偏见研究的文献综述.
- 分析基于知识的传统干预措施的局限性.
- 讨论医疗决策中固有的主观性.
主要成果:
- 认知偏差是外科手术错误和不良事件的一个显着因素.
- 增加知识或指导方针并不总是转化为改善临床行为.
- 医疗决策本身是主观的,不能完全客观.
结论:
- 承认认知偏见的普遍性质对于进步至关重要.
- 干预措施必须是现实的,考虑到临床医生实际上如何做出决定.
- 接受人类的错误性为改善外科手术安全性和结果开辟了道路.
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