医院数字化管理在临床决策中的作用

医院数字化建设是管理行为中的重要手段,借助这一工具,医疗决策的制定和执行将更加科学和规范,但同时医院数字化管理在法律和具体操作上对临床决策的管理还有一定的影响。讨论医院数字化在医疗决策中的合法性、安全性及对临床决策基本原则的作用。     

MORE ABOUT JUDGMENT AND REASON

Abstract: This paper is a response to Siegel 2004 . I take Siegel's remarks as a basis for clarifying, defending, and further developing my account of the role of judgment in a theory of rationality.     

我国教育伦理学研究综述

在我国,教育伦理学在20世纪80年代后期一门独立的学科,在20多年的研究发展中,教育伦理学的研究视域得到了空前的拓展,形成了教育伦理学研究的价值目标体系和伦理规范体系,全面挖掘了教育伦理学的精神内涵,展开了教育伦理学实践机制的研究,呈现出繁荣发展的良好势头。     

Some Hedonic Consequences of Perspective‐Taking in Recommending

What do people enjoy about making recommendations? Although recommendation recipients can gain useful information, the value of these exchanges for the information provider is less clear in comparison. In this article we test whether a common recommendation heuristic—egocentric projection—also has hedonic consequences, by conducting experiments that compare recommendations (suggestions for another person) to reviews, in which people merely express their own preferences. Over five studies, people preferred reviewing over recommending. Recommenders enjoyed themselves less when they had to take their recipients' perspective, to the extent that the recipients' tastes were different from their own. These results suggest that self‐expression can be intrinsically rewarding for recommendation makers, and that recommendation seekers can elicit more information by asking for reviews instead.     

Social decision making mediates the association between anger and externalising problems in Chinese adolescents

The goal of this study was to test the mediating effect of social decision making in the relations of anger and anger control to externalising and internalising problems. A sample of 174 Chinese adolescents (mean age = 15.36 years) completed self‐reports of trait anger, anger control, externalising problems, internalising problems and social decision making, which was operationalized as situational judgement reflecting an individual's ability to interact effectively with parents, teachers and peers. Findings indicated that adolescents' trait anger and anger control were positively related to both externalising and internalising problems. In addition, path analysis revealed that social decision making mediated the relationship between trait anger, anger control and externalising problems. Findings on the mediating effect will be discussed by referencing appraisal tendency theory and response evaluation and decision.     

Fatigue biases the decoy effect in males but not females

Individuals often need to make critical decisions even when they are in a fatigued state. Mental fatigue may lead to increased susceptibility to distraction and poor information processing but it is unclear exactly how fatigue shapes individuals' decision‐making. We studied how mental fatigue influences sensitivity to contextual information, indexed as decoy bias. Mental fatigue was induced using a multi‐source interference task, and decoy bias was assessed using a gambling task, in 124 young adults. Results showed that mental fatigue increased decoy bias through enhanced perceptual salience of contextual cues, but only in males. The findings provide insight into a gender‐specific relationship between fatigue and poor judgments. This study extends the current literature on links between fatigue and poor decision‐making by documenting a possible mechanism of the association. The results may have practical implications for designing optimal working hours and safeguarding people from suboptimal decisions.     

Do people make decisions under risk based on ignorance? An empirical test of the priority heuristic against cumulative prospect theory

Brandstätter, Gigerenzer, and Hertwig [Brandstätter, E., Gigerenzer, G., & Hertwig, R. (2006). The Priority Heuristic: Making choices without trade-offs. Psychological Review, 113(2), 409–432] put forward the priority heuristic (PH) as a fast and frugal heuristic for decisions under risk. According to the PH, individuals do not make trade-offs between gains and probabilities, as proposed by expected utility models such as cumulative prospect theory (CPT), but use information in a non-compensatory manner and ignore information. We conducted three studies to test the PH empirically by analyzing individual choice patterns, decision times and information search parameters in diagnostic decision tasks. Results on all three dependent variables conflict with the predictions of the PH and can be better explained by the CPT. The predictive accuracy of the PH was high for decision tasks in which the predictions align with the predictions of the CPT but very low for decision tasks in which this was not the case. The findings indicate that earlier results supporting the PH might have been caused by the selection of decision tasks that were not diagnostic for the PH as compared to CPT.     

Why more can be less: An inference-based explanation for hyper-subadditivity in bundle valuation

We conceptualize, develop, and test a multiple-item bundle valuation model through which decision makers are able to make inferences about the value of uncertain items based on the value of certain items. Results of four experiments indicate that bundling a low-value certain item with a high-value uncertain item, which are not substitutes, results in a bundle valuation lower than the value of the uncertain item alone. We refer to this highly unexpected and previously unexplained phenomenon as “hyper-subadditivity.” In addition we find that bundling a high-value certain item with a low-value uncertain item leads to superadditivity, even though the items are not complements. Hence, we find that when two objects are bundled together, and one has a more certain value, decision makers use the value of the certain item to infer the value of the less certain item. They might infer that the other (less certain) object must be worth an amount similar to the item with which they are paired. We further demonstrate that reducing uncertainty eliminates these effects, and that direct value inferencing (not simple numeric priming, nor inferences about quality) is the most likely mechanism driving these effects.     

Hidden consequences of the group-serving bias: Causal attributions and the quality of group decision making

A long stream of research in attribution theory suggests that groups are biased toward attributing their success to factors that are internal to their group. However, the existing research has confounded two types of attributions that are both internal to the group, but theoretically distinct: (1) attributions that differentiate between the contributions made by each individual group member and (2) attributions that focus on the group as a whole. This dichotomy is important because, drawing on theories of social influence, we predict that different types of attributions will have different consequences for the quality of group decision making. In Experiment 1, individually focused attributions for past success caused groups to consider more divergent alternatives prior to making a shared decision. In Experiment 2, individually focused attributions for past success facilitated the sharing of unique information and improved decision accuracy. These findings suggest that the group-serving tendency to internalize success may have important consequences for group performance that have not yet been considered in current research.     

The Logics of Discovery in Popper’s Evolutionary Epistemology

Popper is well known for rejecting a logic of discovery, but he is only justified in rejecting the same type of logic of discovery that is denied by consequentialism. His own account of hypothesis generation, based on a natural selection analogy, involves an error-eliminative logic of discovery and the differences he admits between biological and conceptual evolution suggest an error-corrective logic of discovery. These types of logics of discovery are based on principles of plausibility that are used in the generation as opposed to the preliminary evaluation of hypotheses. The normative relevance of these principles is grounded in the distinction between strategic and definitory rules.