Clinical decision making Flashcards
1
Q
Define clinical decision making
A
the process of gathering information, processing it, understanding it and planning an intervention as well as reevaluating it by outcome and finally learning from it.
2
Q
7 barriers to clinical decision making
A
FALSE PR F- Faulty pattern recognition A- Accurate test results L-Limited level of knowledge S-Scope of practice E-Experience P- Presence of multiple comorbidities R- Reliability of patient history
3
Q
6 Rs
A
1R- Read the scene
* Safety
* Env
* Mechanism of injury
2R- Read the patient
* Hx
* Vitals
* Physical exam
* Observe & Id life threats
3R- React
* plan
* Action
4R- Reevaluate
* Focused exam
* Reflection in action
* Diagnostic Deferential
5R- Revise
* Flexibility
6R- Review
* reflection in action
* Open-minded
* Honest
* Reflect
* Improvement plan
4
Q
7 Challenges
A
If resources limited in times of stress and emotional uncertainty I get fatigued. I- Information overload R-limited resources T-Time constraints S-Stress E- Emotional bystanders U- Diagnostic uncertainty F-Fatigue
5
Q
5 arguments on protocol limitations
A
- based on textbook clinical presentation of patient’s s/s
- no guidance if Presence of multiple comorbidities
- Serious problems
- presenting with s/s differing from textbook model.
- Judgement
6
Q
9 thinking traps
A
DAS PUF COP D- Diagnostic momentum A- Anchoring bias S- Search-satisfying bias P- premature closure U- Unpacking principle F- Framing effect C- Confirmation O- Overconfidence P- posterior probability error
7
Q
7 thinking strategies
A
Thinking strategies pattern H- hypotheticodductive I- Intuition R- Rule out worse case scenario A- Algorithmic E- Exhaustive E- Event driven P-Pattern recognition
