Sure, for most (including myself) it's impossible to review every little update. But the bug tracker of your distro is a good indicator if some of the most recent updates created a bunch of new tickets, especially those that are considered to be critical. In case of Arch Linux it is strongly recommended to read the latest update news on archlinux.org, before update.
In addition to that you get some experience over time which of your package updates caused most trouble in the past and you can take additional care. For example, I know that on my desktop the combo of displaylink and xorg does break from time to time with updates, therefore I carefully lookout for issues regarding xorg updates for displaylink users, before I do the xorg update.