PPD - Uncertainty In Medical Practice Flashcards Preview

Block 3 - Resp > PPD - Uncertainty In Medical Practice > Flashcards

Flashcards in PPD - Uncertainty In Medical Practice Deck (22):

Affective bias

- we tend to prefer to what we hope will happen rather than less appealing alternatives


Attribution bias

- patients are prototypes
- gut feeling can be dangerous when emotion is involved


Confirmation bias

- selective cognitive cherry picking based on a preconceived idea


Momentum bias

- nobody stops to question the diagnosis or clinical situation


Commission bias

- tendency to inaction or action



- adopts a distorted or confabulated interpretation of an event
- the interpretation relieves anxiety and confirms a persons self-understanding as a moral individual


Euphemistic language

- makes the act seem less harmful


Advantageous comparison

- comparing it to something worse
- telling the family will only make them feel worse
- the immoral act trumps the moral act


Displacement of responsibility

- somebody else was really to blame
- therefore no need to disclose


Diffusion of responsibility

- the responsibility is tranferred to the group
- therefore cant single out who is to blame


Attribution of blame

- blaming the vitim of the circumstances for enabling the events to occur
- the patient brought it on themselves



- the individual fragments/splits themselves between the person who made the error and the one who does some good deeds
- divert error to the bad self, but that is not the real person


Shared decision making

- both doctor and patient are involved
- information exchange in both directions and by both parties
- mutual deliberation on treatment options
- agreement on treatment
- no a hallmark of good clinical practice, an ethical imperative and a way of enhancing patient engagement and activation
- suggest benefit and increased patient satisfaction if participation preferences are met


Clinical skills for shared decision making

- developing a therapeutic relationship with patient
- explain the decision being made
- good communication skills + listening
- askin patient to tell you what they have understood
- support patients and their families to be involved in decision


Communicating complex information

- language
- patient understanding
- patient anxiety
- time
- decision aids
- question prompt list
- patient coaching
- consultation audio recording
- option grids
- time to consider decision


What does decision support do

- assist consumers to make informed choices about different options in their healthcare
- provides information on options and outcomes
- includes values clarification to weigh up pros and cons
- non-directive


Do decision aids work?

- improve knowledge
- lower decisional conflict
- fewer people undecided
- more people accurate risk perception
- less practitioner controlled decision making
- choosing option congruent with values


Are question asking interventions effective?

- increased question asking
- increased patient satisfaction
- no increase anxiety
- no increase in consultation length
- enable participants to raise more sensitive issues during consultation


Treatment decision questions: ASK

- increased the amount and quality of information given about treatment options and possible outcomes
- improve communication behaviors that encourage patient involvement in decision making
- did not increase consultation time in general practice


Summary: Shared decision making

- requires both patient and clinician to consider a healthcare decision together
- is considered best practice and widely endorsed approach to clinical decision making
- is supported on ethical and empirical grounds due to positive effects on decision quality, health outcomes, health service utilization and efficiency of care


Communicating uncertainty

- acknowledge uncertainty
- explore prefences and tailor discussion to patient and family in front of you
- consider different ways to explain information so it is understood


Decision support tool

- improve the communication of complex information to patients
- increase the quality of patient involvement in care

Decks in Block 3 - Resp Class (44):