Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Making a surgical decision: interplay between experience and clinical study].

W Lorenz1, H D Schult, M Rothmund

  • 1Institut für Theoretische Chirurgie, Philipps-Universität Marburg.

Langenbecks Archiv Fur Chirurgie. Supplement II, Verhandlungen Der Deutschen Gesellschaft Fur Chirurgie. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1990
PubMed
Summary

This study introduces a scientific method for analyzing doctors' individual patient decision-making processes. It categorizes decision types and presents a think-aloud technique to improve clinical trial result application.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Patient safety : A surgical perspective].

Der Internist·2020
Same author

Several mechanisms for histamine release during laparoscopic cholecystectomy in human subjects: Impact of plasma catecholamines for differentiation.

Inflammation research : official journal of the European Histamine Research Society ... [et al.]·2016
Same author

Histamine release in conventional versus minimally invasive surgery: Results of a randomised trial in acute cholecystitis.

Inflammation research : official journal of the European Histamine Research Society ... [et al.]·2016
Same author

[Not Available].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2016
Same author

UV-induced alterations of the skin evaluated over time by reflectance confocal microscopy.

Journal of the European Academy of Dermatology and Venereology : JEADV·2013
Same author

Surgical leadership.

The British journal of surgery·2013

Area of Science:

  • Medical Decision Making
  • Clinical Psychology
  • Health Services Research

Context:

  • Individual patient decision-making by clinicians is crucial but lacks robust scientific analysis compared to formal clinical trials.
  • Existing methods often overlook the nuances of intuitive and discursive decision-making processes.

Purpose:

  • To scientifically characterize different types of individual clinical decision-making.
  • To introduce a reproducible methodology for analyzing these decisions.
  • To bridge the gap between clinical trial results and individual patient care.

Summary:

  • The study categorizes five types of clinical decision-making: four intuitive (fast logic, conscious/unconscious heuristics) and one discursive (purely logical).
  • A prospective think-aloud technique with a hierarchical heuristic decision tree is proposed for scientific analysis.

Related Experiment Videos

  • The method allows for repetition, criticism, and defines the role of formal trials.

    • Impact:

    • Provides a framework for the scientific analysis of individual clinical decision-making.
    • Offers a solution for transferring general clinical trial findings to specific patient cases using representativeness.
    • Enhances the scientific rigor of medical practice by analyzing the doctor's decision-making process.