临床思维的不确定性与患者安全

Qian Zhao, Zhang-shun Shen, Hui Guo, Jian-Guo Li
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引用次数: 1

摘要

临床思维具有不确定性,由此造成的失误也不少。临床思维的不确定性来源于客观世界、社会世界和医学知识的不确定性,并贯穿于临床活动的各个方面,因此如何应对临床思维的不确定性就显得十分必要;批判性思维对科学理论的解释和预测持谨慎态度,是探索不确定性的最佳实践。医学的根本目的是救人,因此将“排除危及生命的症状”作为临床思维的第一原则是必要的和科学的,这也是处理临床思维不确定性的主要方法;程序性思维利用临床思维有限的确定性,有利于构建“易对难错”的安全卫生体系。
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Uncertainty of Clinical Thinking and Patient Safety
Clinical thinking have the uncertainty, by which there are not a few mistakes caused. So it is necessary to discuss how to deal with the uncertainty of clinical thinking, which originates from the uncertainty of the objective world, social world and medicine knowledge, and can be seen all over clinical activities; Critical thinking which cautious about the interpretation and prediction of scientific theory is the best practice to explore the uncertainty. The essential purpose of medicine is rescuing people, So it is necessary and scientific to take “excluding life-threatening symptoms first” as the first principle of clinical thinking, which is also the primary method to deal with the uncertainty of clinical thinking; By the limited certainty of clinical thinking, procedural thinking is conducive to building a safer health system that is “easy to do right and difficult to do wrong”.
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