据研究人员介绍，在分娩环境中做出的临床决定往往是在高压力和巨大的不确定性下做出的，并对母亲和婴儿产生严重后果。决策理论表明，在这种情况下，个人可能会诉诸于使用启发式方法，或简化的决策规则，来帮助复杂的决策。
研究人员调查了医生的分娩模式决定（即何时进行阴道分娩与剖腹产）是否受到这种启发式的影响。86,000次分娩的电子健康记录表明，如果之前的病人在一种分娩模式下出现了并发症，那么医生将更有可能为之后的病人改用另一种分娩模式（很可能是不合适的），而不考虑病人的适应症。有证据表明，这种启发式方法对病人的健康有小的、次优的影响。
附：英文原文
Title: Heuristics in the delivery room
Author: Manasvini Singh
Issue&Volume: 2021-10-15
Abstract: Clinical decisions made in the delivery setting are often made under high pressure and great uncertainty, and have serious consequences for mother and baby. Theories of decision-making suggest that individuals in such settings may resort to using heuristics, or simplified decision rules, to aid complex decision-making. This study investigates whether physicians’ delivery mode decisions (i.e., when to perform a vaginal versus a cesarean delivery) are influenced by such a heuristic. Electronic health records spanning 86,000 deliveries suggest that if the prior patient had complications in one delivery mode, the physician will be more likely to switch to the other—and likely inappropriate—delivery mode for the subsequent patient, regardless of patient indications. There is evidence that this heuristic has small, suboptimal effects on patient health.
DOI: abc9818
Source: https://www.science.org/doi/10.1126/science.abc9818