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.

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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

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article

Slow Thinking for Fast Results: Reclaiming Analytical Reasoning in Antimicrobial Susceptibility Test Interpretation

Carlos R V Kiffer, Paulo J M Bispo
Open Forum Infectious Diseases
Bacterial Identification and Susceptibility Testing
article

Slow Thinking for Fast Results: Reclaiming Analytical Reasoning in Antimicrobial Susceptibility Test Interpretation

Carlos R V Kiffer, Paulo J M Bispo
article en

Abstract

, 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.

Open Forum Infectious DiseasesVol. 13(5)
Massachusetts Eye and Ear Infirmary (US), Universidade Federal de São Paulo (BR)
Fundação de Amparo à Pesquisa do Estado de São Paulo
Openalex Percentile: Top 5%
Bacterial Identification and Susceptibility Testing
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