文章基本信息

标题：CLINICAL DECISION-MAKING OF ANESTHESIOLOGY RESIDENTS IN EMERGENCY MEDICAL CARE
其他标题：ANESTEZIOLOGIJOS-REANIMATOLOGIJOS REZIDENTŲ SPRENDIMŲ PRIĖMIMAS,TEIKIANT SKUBIĄ MEDICINOS PAGALBĄ
本地全文：下载
作者：Tomas Maceina ; Tomas Maceina ; Gintautas Valickas 等
期刊名称：International Journal of Psychology: A Biopsychosocial Approach
印刷版ISSN：1941-7233
电子版ISSN：2345-024X
出版年度：2016
卷号：19
页码：9-34
DOI：10.7220/2345-024X.19.1
语种：English
出版社：Vytautas Magnus University
摘要：The purpose of current work is to clarify characteristics of anesthesiologists’ use of heuristics in emergency medical care.Two separate studies were carried out to evaluate the characteristics of anesthesiologists’ use of heuristics: (a) according to gained experience;(b) and under stressful conditions.Methods.First (longitudinal design) study was comprised of two phases 10-11 months apart.In both phases,participants solved three vignettes that required the provision of emergency medical care.In the second study,participants solved three medical vignettes under stressful conditions (i.e.under the influence of the cold pressor test).Physiological data – participants’ heart rate – was registered using finger plethysmograph before and after the cold pressor test.The adequacy of decisions were evaluated independently by two experts in anesthesiology.Results and conclusions.Results of quantitative content analysis of the first longitudinal design study showed a decrease in the use of availability and an increase in anchoring and adjustment of heuristic as anesthesiology residents become more experienced.Results of both studies indicate that 32-38% of all anesthesiology residents’ thoughts are heuristic in nature and 3-11% of all thoughts are cognitive errors.
其他摘要：Teikdami skubią medicinos pagalbą,anesteziologijosreanimatologijos srityje besispecializuojantys rezidentai rizikuoja priimti klaidingus sprendimus,galinčius nulemti paciento mirtį.Siekiant paaiškinti anesteziologijos-reanimatologijos rezidentų sprendimų
关键词：clinical decision-making;heuristics;cognitive errors.
其他关键词：sprendimų priėmimas;euristikos;mąstymo klaidos