Vitacca Matteo, Giardini Anna, Gazzi Lidia, Vitacca Michele
Psychology Service, ICS Maugeri IRCCS, Institute of Lumezzane (BS).
Information Technology, ICS Maugeri IRCCS, Institute of Pavia.
Monaldi Arch Chest Dis. 2022 Sep 7;93(2). doi: 10.4081/monaldi.2022.2339.
Every day, we must make decisions that range from simple and risk-free to difficult and risky. Our cognitive sources' limitations, as well as the need for speed, can frequently impair the quality and accuracy of our reasoning processes. Indeed, cognitive shortcuts lead us to solutions that are sufficiently satisfying to allow us to make quick decisions. Unfortunately, heuristics frequently misguide us, and we fall victim to biases and systematic distortions of our perceptions and judgments. Because suboptimal diagnostic reasoning processes can have dramatic consequences, the clinical setting is an ideal setting for developing targeted interventions to reduce the rates and magnitude of biases. There are several approaches to bias mitigation, some of which may be impractical. Furthermore, advances in information technology have given us powerful tools for addressing and preventing errors in health care. Recognizing and accepting the role of biases is only the first and unavoidable step toward any effective intervention proposal. As a result, our narrative review aims to present some insights on this contentious topic based on both medical and psychological literature.
每天,我们都必须做出各种决策,从简单且无风险的到困难且有风险的。我们认知资源的局限性以及对速度的需求,常常会损害我们推理过程的质量和准确性。事实上,认知捷径会引导我们找到足够令人满意的解决方案,使我们能够快速做出决策。不幸的是,启发式方法常常误导我们,我们会成为偏见以及感知和判断的系统性扭曲的受害者。由于次优的诊断推理过程可能会产生巨大后果,临床环境是开发针对性干预措施以降低偏见发生率和严重程度的理想环境。有几种减轻偏见的方法,其中一些可能不切实际。此外,信息技术的进步为我们提供了强大的工具来处理和预防医疗保健中的错误。认识并接受偏见的作用只是迈向任何有效干预建议的第一步且不可避免。因此,我们的叙述性综述旨在基于医学和心理学文献,就这个有争议的话题提出一些见解。