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Zohour Soleimani M R, Changiz T. Clinical Decision Making: What and How. Iranian Journal of Medical Education 2023; 23 :333-342
URL: http://ijme.mui.ac.ir/article-1-5731-en.html
URL: http://ijme.mui.ac.ir/article-1-5731-en.html
& Medical Education Department, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. , changiz@edc.mui.ac.ir
Abstract: (622 Views)
Introduction: Regarding the development of diagnostic and therapeutic technologies as well as the emphasis on reducing medical errors, the role of doctors’ Clinical Decision Making (CDM) has become more prominent. To teach CDM, it seems necessary to know its nature and process, and clearly define the concept. This study was conducted to define CDM and factors affecting CDM process according to the published review papers.
Methods: This study was a systematized review on review articles indexed in PubMed. Papers with “Decision making” OR “Clinical decision making” OR “Shared decision making” in MeSH terms that published in the last 10 years were retrieved and their title and abstract were screened for relevance in two steps. The full-text of selected papers was studied carefully to extract main concepts according to the research questions.
Results: Initially, 15162 records were found using the aforementioned search strategy and filters (review, last 10 years). After screening of all paper titles, 146 papers were selected for screening of abstracts. Finally, 15 papers were included as relevant to the research questions and their full text was carefully read. Papers were grouped into two categories (viz., Concept of CDM & factors contributing in CDM).
Conclusion: According to the findings, clinical decision making could be defined as: “a dynamic, cognitive and multi-factorial process used by the physician or the person in charge to choose among the management options for each patient, which are prioritized according to different personal, environmental, and contextual (including cultural, economic, and organizational) factors. Clinical decision making is a cognitive process that could be affected by environmental factors. Contributing factors could be summarized into: cognitive, emotional, environmental, cultural, risks, reasoning style (inductive/Deductive), and medical errors.
Methods: This study was a systematized review on review articles indexed in PubMed. Papers with “Decision making” OR “Clinical decision making” OR “Shared decision making” in MeSH terms that published in the last 10 years were retrieved and their title and abstract were screened for relevance in two steps. The full-text of selected papers was studied carefully to extract main concepts according to the research questions.
Results: Initially, 15162 records were found using the aforementioned search strategy and filters (review, last 10 years). After screening of all paper titles, 146 papers were selected for screening of abstracts. Finally, 15 papers were included as relevant to the research questions and their full text was carefully read. Papers were grouped into two categories (viz., Concept of CDM & factors contributing in CDM).
Conclusion: According to the findings, clinical decision making could be defined as: “a dynamic, cognitive and multi-factorial process used by the physician or the person in charge to choose among the management options for each patient, which are prioritized according to different personal, environmental, and contextual (including cultural, economic, and organizational) factors. Clinical decision making is a cognitive process that could be affected by environmental factors. Contributing factors could be summarized into: cognitive, emotional, environmental, cultural, risks, reasoning style (inductive/Deductive), and medical errors.
Keywords: Clinical Decision Making, Diagnostic Reasoning, Management Reasoning, Shared Decision Making
Type of Study: Review article |
Subject:
Clinical Teaching
Received: 2023/12/27 | Accepted: 2024/03/2 | Published: 2023/03/30 | ePublished: 2023/03/30
Received: 2023/12/27 | Accepted: 2024/03/2 | Published: 2023/03/30 | ePublished: 2023/03/30
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