• Critical care clinics · Jan 2022

    Review

    Decision Making: Healthy Heuristics and Betraying Biases.

    • Courtney W Mangus and Prashant Mahajan.
    • Departments of Emergency Medicine and Pediatrics, University of Michigan, 1540 East Hospital Drive, CW 2-737, SPC 4260, Ann Arbor, MI 48109-4260, USA. Electronic address: cmangus@med.umich.edu.
    • Crit Care Clin. 2022 Jan 1; 38 (1): 37-49.

    AbstractCritical care settings are unpredictable, dynamic environments where clinicians face high decision density in suboptimal conditions (stress, time constraints, competing priorities). Experts have described two systems of human decision making: one fast and intuitive; the other slow and methodical. Heuristics, or mental shortcuts, a key feature of intuitive reasoning, are often accurate, applied instinctively, and essential for efficient diagnostic decision making. Heuristics are also prone to failures, or cognitive biases, which can lead to diagnostic errors. A variety of strategies have been proposed to mitigate biases; however, current understanding of such interventions to optimize diagnostic safety is still incomplete.Copyright © 2021 Elsevier Inc. All rights reserved.

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