Primer: using decision analysis to improve clinical decision making in urology

2006 ◽  
Vol 3 (8) ◽  
pp. 439-448 ◽  
Author(s):  
Elena B Elkin ◽  
Andrew J Vickers ◽  
Michael W Kattan
Keyword(s):  
Decision Making ◽  
Decision Analysis ◽  
Clinical Decision Making ◽  
Clinical Decision

Principles of Clinical Decision Making—An Introduction to Decision Analysis

1988 ◽  
Vol 68 (3) ◽  
pp. 357-359 ◽  
Author(s):  
Richard M. Shewchuk ◽  
Kennon T. Francis
Keyword(s):  
Decision Making ◽  
Decision Analysis ◽  
Clinical Decision Making ◽  
Clinical Decision

Decision Analysis in Individual Clinical Decision Making : A Real-World Application in Treatment of Renal Disease

1976 ◽  
Vol 15 (01) ◽  
pp. 43-46 ◽  
Author(s):  
J. S. Pliskin ◽  
C. H. Beck
Keyword(s):  
Decision Making ◽  
Decision Analysis ◽  
Real World ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Subjective Assessment ◽  
Value Judgments ◽  
Use Of Data ◽  
Real World Problem ◽  
Subjective Assessments

The methodological framework of decision analysis is applied to a given physician’s decision making process with respect to a given, identified patient. The paper demonstrates how some of the subjective assessments and value judgments can be systematically incorporated and applied in a real-world setting. Direct subjective assessment of all probabilities was necessary because the specific characteristics of the given patient did not enable use of data in the literature. Explicit tradeoffs between longevity and quality of life were elicited from the decision maker and used in quantifying his relative preferences for the possible outcomes. The paper demonstrates the usefulness of decision analysis in structuring and analyzing a real-world problem, especially one where little or no data are available.

Clinical decision-making

2020 ◽  
pp. 26-30
Author(s):  
Timothy E.A. Peto ◽  
Philippa Peto
Keyword(s):  
Decision Making ◽  
Decision Analysis ◽  
Common Sense ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Routine Practice ◽  
Management Plans ◽  
Average Patient ◽  
Based Medicine ◽  
Logical Process

Clinicians make decisions at every stage of the patient pathway. In routine practice complex decisions are often made rapidly using ‘intuition’ or common sense, but this can lead to suboptimal management plans. Clinical decision analysis is a way of formalizing the logical process behind decision-making, and when combined with evidence from medical research is described as the practice of evidence-based medicine. In practice, most clinicians do not have the time, intellectual energy, or training to perform a formal clinical decision analysis and they tend to use short cuts and go for the ‘safe’ decision which is suitable for the ‘average patient’ and often in keeping with guidelines for local practice. However, clinicians who follow the logical process of clinical decision analysis find it easier to live with the uncertainty of an inexact science and subjective wishes of the patient.

Debates in Dysphagia Management: How Do You Use Evidence-Based Practice in Your Dysphagia Patient Care?

2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Clinical Outcomes ◽  
Clinical Judgment ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Clinical Decision ◽  
Evidence Based ◽  
Clinical Method ◽  
Do So

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.

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