Claessens Yann-Erick, Wannepain Sophie, Gestin Stéphanie, Magdelein Xavier, Ferretti Elsa, Guilly Marine, Charlin Bernard, Pelaccia Thierry
Department of Emergency Medicine, Centre Hospitalier Princesse Grace, , Principalty of Monaco, Monaco.
Emerg Med J. 2014 Mar;31(3):238-41. doi: 10.1136/emermed-2012-202303. Epub 2013 Apr 4.
Biomarkers have been developed in emergency medicine to improve decision at bedside using Bayesian approach. We intend to determine the cognitive process actually utilised by emergency physicians to incorporate biomarkers in clinical reasoning.
We invited eight emergency physicians to answer eight script concordance tests. Interviews were tape-recorded and qualitatively analysed using predetermined categories until saturation.
Emergency physicians mainly mobilised intuition and non-Bayesian reasoning to incorporate biomarkers for diagnosis or treatment strategies.
Although biomarkers have been developed to be used in a Bayesian approach, emergency physicians mainly use other analytical and non-analytical cognitive processes to introduce these tools in their clinical reasoning.
在急诊医学中已开发出生物标志物，以使用贝叶斯方法改善床边决策。我们旨在确定急诊医生在临床推理中纳入生物标志物时实际采用的认知过程。
我们邀请了八位急诊医生回答八个脚本一致性测试。访谈进行了录音，并使用预定类别进行定性分析，直至达到饱和状态。
急诊医生主要运用直觉和非贝叶斯推理来纳入生物标志物以制定诊断或治疗策略。
尽管已开发出生物标志物用于贝叶斯方法，但急诊医生主要使用其他分析性和非分析性认知过程将这些工具引入其临床推理中。
