Five pitfalls in decisions about diagnosis and prescribing

Five pitfalls in decisions about diagnosis and prescribing
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DOI:
10.1136/bmj.330.7494.781
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发表时间:
2005-04-02
影响因子:
105.7
通讯作者:
Klein, JG
Klein, JG
中科院分区:
医学1区
文献类型:
--
作者:
Klein, JG

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心理学家广泛研究了决策过程中涉及的认知过程,并发现了许多导致人们误入歧途的因素。由于医生的决定对患者的健康有着深远的影响,因此这些决定应该具有尽可能高的质量。因此,所有医生都应该意识到医疗决策中可能存在的陷阱,并采取措施避免这些不必要的错误。在本文中,我提出了五个可能影响医疗决策的认知偏差的例子,并提供了避免这些偏差的建议。
Psychologists have studied the cognitive processes involved in decision making extensively and have identified many factors that lead people astray. Because doctors’ decisions have profound effects on their patients’ health, these decisions should be of the best possible quality. All doctors should therefore be aware of possible pitfalls in medical decision making and take steps to avoid these unnecessary errors. In this article, I present five examples of cognitive biases that can affect medical decision making and offer suggestions for avoiding them.