Slow Thinking for Fast Results: Reclaiming Analytical Reasoning in Antimicrobial Susceptibility Test Interpretation
, we discuss the evolving resistance patterns over years, and it has increased interpretive complexity beyond what categorical AST outputs alone convey. We propose that interpretative errors may often arise from predictable cognitive responses, rather than from insufficient knowledge, which may be reinforced by current laboratory reporting formats and clinical workflows. Finally, we discuss educational, structural, and reporting strategies to foster system 2 engagement and mechanism-aware interpretation, with implications for antimicrobial stewardship and the training of medical students and early-career clinicians.
Authors
- Carlos R V Kiffer
- Paulo J M Bispo (ORCID: https://orcid.org/0000-0002-2867-1450)
Institutions
- Massachusetts Eye and Ear Infirmary (US)
- Universidade Federal de São Paulo (BR)
Publication Details
- Journal
- Open Forum Infectious Diseases
- Published
- 2026-04-10
- DOI
- https://doi.org/10.1093/ofid/ofag214
- Primary Topic
- Bacterial Identification and Susceptibility Testing
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Fundação de Amparo à Pesquisa do Estado de São Paulo