Clinical decision-making

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Clinical decision-making (pronounced: klin-i-kal dih-sizh-uhn-meyk-ing) is a complex, cognitive process that healthcare professionals use to evaluate, select, and implement options in patient care. It involves the use of critical thinking and analytical skills to make judgments based on evidence-based practice.

Etymology

The term "clinical decision-making" is derived from the Greek word "klinikos", meaning "bed", and the Latin word "decidere", meaning "to decide". It refers to the process of making decisions related to patient care in a clinical setting.

Process

Clinical decision-making involves several steps, including:

  1. Assessment: This is the first step where the healthcare professional gathers information about the patient's health status.
  2. Diagnosis: Based on the assessment, a diagnosis is made.
  3. Planning: A plan of care is developed based on the diagnosis.
  4. Implementation: The plan of care is put into action.
  5. Evaluation: The effectiveness of the care plan is evaluated, and adjustments are made as necessary.

Models

There are several models of clinical decision-making, including:

  1. Hypothetico-deductive model: This model involves forming a hypothesis based on the patient's symptoms and then testing it through further observation and investigation.
  2. Pattern recognition model: This model involves recognizing patterns in the patient's symptoms and using this to make a diagnosis.
  3. Intuitive thinking model: This model involves using intuition, based on the healthcare professional's experience and knowledge, to make a decision.

Related Terms

  • Clinical judgment: The use of the healthcare professional's knowledge and expertise to make decisions about patient care.
  • Evidence-based practice: The use of current best evidence in making decisions about the care of individual patients.

See Also

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