clinical decision making Flashcards
(17 cards)
what are the two different approaches
practical and theoretical
Berwick report
a promise to learn a commitment to act
1. places the patients safety above all over aims
2.empoer and respect the patient and careers views
3. Foster growthier and development of all staff including there ability and support to improve the process in which they work
4. embrace transparency - accountability
satisficing
making a decision which will meet the minimum requirements for task
When you have a ‘good enough’ answer, stop looking for more information
clinical reasoning
What goes on in your head when we make clinical decisions
Problem solving
Understanding the relationship between the features detected and the underlying disorders
Generating and testing hypotheses with patient information
Draws upon our existing knowledge, associations and experience
Types of clinical decision making
selective and creative
selective decision making
Options already exist and we use a structured process
Decision involves selecting from a choice (often easier)
A cognitive process
creative decision making
Allowed to think more freely – intuition
Need to generate solutions from the information gained
Can include emotion and bias
Can be more risky
Core skills of clinical decision making
Pattern recognition
Critical thinking
Communication skills
Evidence based medicine
Team Work
Sharing
Reflection
factors influencing decision making
evidence, environment, patient, scenario
HEURISTICS
cognitive biases- intuitive mental shorts gut feeling- give an approx. answer to a problem quickly
availablity bias
to make a decision based on previous cases seen
anchoring bias
to fixate on first impressions. once the anchor is set the other judgments are just ways to move away form the anchor
premature closure bias
making a decisions based on limited evidence without considering other explanations
framing bias
being swayed by the way a problem is phased
representative bias
assuming that just because A resembles the group people called B that A does belong to B
conformation bias
the tendency to favor information that confirms their beliefs or hypotheses.
Framing bias
GAIN Fames
Loss Fames
