10.9.24 - Module introduction Flashcards
What is clinical reasoning?
Clinical reasoning describes the thinking and decision-making processes associated with clinical practice
why is clinical reasoning an essential skill?
- Supply and demand
- Challenges in imaging
- Interprofessional influence
- professional accountability
- Decision fatigue
What are the 8 steps in the clinical reasoning cycle?
- Consider the patient’s situation
- Collect cues / information
- Process information
- Identify problems / issues
- Establish Goals
- Take action
- Evaluate outcomes
- Reflect on process and new learning
What 4 points make up the theory on clinical reasoning?
+ problem solving
+ Technical skills
+ Decision making
+ information gathering
What 4 core elements do we need to think about in all interactions?
Evidence based practice
IR(ME)R
Need for urgent attention
Local policies and procedures
What are the 2 systems of clinical reasoning?
System 1 - pattern recognition
system 2 - hypothetical deductive
What makes up system 1?
Intuitive (patterns)
Automatic (subconscious)
Low reliability (vulnerable to error)
Highly affected by context
What makes up system 2?
Analytical (systematic)
Deliberate (Conscious)
High reliability (Evidence-based)
Less affected by context
What is the Swiss cheese model?
It shows that through a set of errors that patients can come to harm and that if there was one intervention in the chain, this harm could have been prevented.
Which factors can contribute in the Swiss cheese model?
Technical
- poor design
- deferred maintenance
Provider
- Training
- Distractions
- Fatigue
Team
- Shifting responsibilities
- Handovers
Organisation
- culture
- Incomplete policies
Funding and resources
Which resources guide clinical decision making?
Legislation
NICE
Evidence-based practice
Experience
Team
Key points of Clinical decision making?
- not one answer
- grounded in clinical knowledge and experience
- information and communication is key
- don’t be afraid to speak up
- Raising concerns
