Richardson Safiya
Internal medicine physician at Northwell Health in Great Neck, New York.
AMA J Ethics. 2020 Sep 1;22(9):E760-766. doi: 10.1001/amajethics.2020.760.
Behavioral interventions have been shown to have powerful effects on human behavior both outside of and within the context of health care. As organizations increasingly adopt behavioral architecture, care must be taken to consider its potential negative consequences. An evidenced-based approach is best, whereby interventions that might have a significant deleterious effect on patients' health outcomes are first tested and rigorously evaluated before being systematically rolled out. In the case of clinical decision support, brief and thorough instructions should be provided for use. Physician performance when using these systems is best measured relatively, in the context of peers with similar training. Responsibility for errors must be shared with clinical team members and system designers.
行为干预已被证明在医疗保健领域内外对人类行为都有强大的影响。随着组织越来越多地采用行为架构，必须谨慎考虑其潜在的负面后果。最好采用循证方法，即在系统推广可能对患者健康结果产生重大有害影响的干预措施之前，先对其进行测试和严格评估。对于临床决策支持，应提供简短而全面的使用说明。在使用这些系统时，医生的表现最好在与接受类似培训的同行的背景下进行相对衡量。错误责任必须由临床团队成员和系统设计师共同承担。
