手术实践中的认知偏差与失调：叙事性综述

Cognitive Bias and Dissonance in Surgical Practice: A Narrative Review.

机构信息

University of Michigan Medical School, 1500 East Medical Center Drive, Ann Arbor, MI, USA. Electronic address: https://twitter.com/cerichburg.

Department of Surgery, Michigan Medicine, 2101 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI, USA. Electronic address: https://twitter.com/leslydossett.

出版信息

Surg Clin North Am. 2023 Apr;103(2):271-285. doi: 10.1016/j.suc.2022.11.003.

DOI:10.1016/j.suc.2022.11.003

PMID:36948718

Abstract

A cognitive bias describes "shortcuts" subconsciously applied to new scenarios to simplify decision-making. Unintentional introduction of cognitive bias in surgery may result in surgical diagnostic error that leads to delayed surgical care, unnecessary procedures, intraoperative complications, and delayed recognition of postoperative complications. Data suggest that surgical error secondary to the introduction of cognitive bias results in significant harm. Thus, debiasing is a growing area of research which urges practitioners to deliberately slow decision-making to reduce the effects of cognitive bias.

摘要

认知偏差描述了潜意识应用于新场景以简化决策的“捷径”。手术中无意引入认知偏差可能导致手术诊断错误，从而导致手术护理延迟、不必要的程序、术中并发症以及术后并发症的延迟识别。数据表明，由于引入认知偏差而导致的手术错误会造成重大伤害。因此，去偏差是一个不断发展的研究领域，它促使从业者故意放慢决策速度，以减少认知偏差的影响。