PDF(Pubmed)
Abstract：
Diagnostic errors are prevalent in critical care practice and are associated with patient harm and costs for providers and the healthcare system. Patient complexity, illness severity, and the urgency in initiating proper treatment all contribute to decision-making errors. Clinician-related factors such as fatigue, cognitive overload, and inexperience further interfere with effective decision-making. Cognitive science has provided insight into the clinical decision-making process that can be used to reduce error. This evidence-based review discusses ten common misconceptions regarding critical care decision-making. By understanding how practitioners make clinical decisions and examining how errors occur, strategies may be developed and implemented to decrease errors in Decision-making and improve patient outcomes.
摘要：
诊断错误在重症监护实践中很普遍，并且与患者的伤害以及提供者和医疗保健系统的成本有关。患者复杂性,疾病严重程度,以及启动适当治疗的紧迫性都会导致决策错误。临床医生相关因素，如疲劳，认知过载，缺乏经验进一步干扰有效决策。认知科学提供了对临床决策过程的见解，可用于减少错误。这项基于证据的审查讨论了有关重症监护决策的十个常见误解。通过了解从业者如何做出临床决策并检查错误是如何发生的，可以制定和实施策略以减少决策错误并改善患者预后。
