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Decision-making and safety in anesthesiology

机译：麻醉学的决策与安全

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Purpose of review: Anesthesiologists work in a complex environment that is intolerant of errors. Cognitive errors, or errors in thought processes, are mistakes that a clinician makes despite 'knowing better'. Several new studies provide a better understanding of how to manage risk while making better decisions. Recent findings: Heuristics, or mental shortcuts, allow physicians to make decisions quickly and efficiently but may be responsible for errors in diagnosis and treatment. Using simple 'decision-making checklists' can help healthcare providers to make the correct decisions by monitoring their own thought processes. Anesthesiologists can adopt risk assessment tools that were originally developed for use by pilots to determine the hazards associated with a particular clinical management strategy. Summary: Effective decision-making and risk management reduce the risk of adverse events in the operating room. This article proposes several new decision-making and risk assessment tools for use in the operating room.
机译：审查目的：麻醉师在不容错的复杂环境中工作。认知错误或思维过程中的错误是临床医生尽管“懂得更好”而犯的错误。多项新研究对如何在制定更好的决策时管理风险有了更好的理解。最近的发现：启发式或精神捷径使医生能够快速有效地做出决定，但可能对诊断和治疗中的错误负责。使用简单的“决策清单”可以帮助医疗保健提供者通过监视自己的思维过程来做出正确的决定。麻醉师可以采用最初由飞行员使用的风险评估工具，以确定与特定临床管理策略相关的危害。摘要：有效的决策和风险管理可以减少手术室发生不良事件的风险。本文提出了几种在手术室中使用的新的决策和风险评估工具。

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