Resumo

RUBIO-MARTINEZ, Rodrigo et al. Cognitive biases in anesthesia, a latent cause of human error. Rev. mex. anestesiol. [online]. 2019, vol.42, n.2, pp.118-121.  Epub 30-Mar-2020. ISSN 0484-7903.

A concept that has gained attention in the last years is the existance of cognitive biases and their influence in decision making and behaviour of human beings. Teams in the operating room are formed by different medical specialities with varied levels of experience, everyone has a role and every one can make decisions that have an impact in the patient. This decision making process might be based in previous experience, clinical reasoning, and context; the need to make a rapid diagnosis and treatment in some situations makes the anesthesiologist especially vulnerable to cognitive bias. We present different types of cognitive bias that might be present in the operating room for example the attention bias in which a relevant stimulus like the airway management could make the hemodynamic aspect go unnoticed. The goal of this paper is to aware anesthesiologists in particular about this cognitive biases, their presence in the decision making process in the operating room and to share a couple of ways to prevent them.

Palavras-chave : Cognitive bias; human error; errors in the operating room; CRM; human factors; simulation; patient safety.

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