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固定误差无简单修正法:认知过程及其临床应用。

No simple fix for fixation errors: cognitive processes and their clinical applications.

机构信息

Industrial Psychology Research Centre, University of Aberdeen, Aberdeen, UK.

出版信息

Anaesthesia. 2010 Jan;65(1):61-9. doi: 10.1111/j.1365-2044.2009.05994.x.

DOI:10.1111/j.1365-2044.2009.05994.x
PMID:20121773
Abstract

Fixation errors occur when the practitioner concentrates solely upon a single aspect of a case to the detriment of other more relevant aspects. These are well recognised in anaesthetic practice and can contribute significantly to morbidity and mortality. Improvement in patient safety may be assisted by development and application of countermeasures to fixation errors. Cognitive psychologists use 'insight problems' in a laboratory setting, both to induce fixation and to explore strategies to escape from fixation. We present some results from a series of experiments on one such insight problem and consider applications that may have relevance to anaesthetic practice.

摘要

当从业者仅仅专注于病例的单一方面而忽视其他更相关的方面时,就会出现固定错误。这些在麻醉实践中是众所周知的,并且会对发病率和死亡率产生重大影响。通过开发和应用针对固定错误的对策,可以帮助提高患者安全性。认知心理学家在实验室环境中使用“洞察力问题”,既可以引起固定,也可以探索摆脱固定的策略。我们介绍了一系列关于此类洞察力问题的实验中的一些结果,并考虑了可能与麻醉实践相关的应用。

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