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Related Experiment Video

Updated: Jun 10, 2026

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

Published on: June 12, 2020

Deciding without data.

Jeffrey R Darst¹, Jane W Newburger, Stephen Resch

¹Department of Cardiology, Children's Hospital Boston and Department of Pediatrics, Harvard Medical School, Boston, MA, USA. jeffrey.darst@cardio.chboston.org

Congenital Heart Disease

|July 27, 2010

Summary

This summary is machine-generated.

Physicians rarely use published data for real-time clinical decisions, often relying on personal experience. This highlights a gap in evidence-based practice for medical resource utilization.

Related Experiment Videos

Last Updated: Jun 10, 2026

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

Published on: June 12, 2020

Area of Science:

Medical decision-making
Health services research
Evidence-based medicine

Background:

Physician decisions significantly impact healthcare spending.
Limited research exists on the evidence physicians use in real-time decision-making.

Purpose of the Study:

To investigate the evidence base for clinical decisions made by pediatric cardiologists.
To categorize the sources of information influencing physician choices during patient care.

Main Methods:

Ten pediatric cardiologists documented all clinically significant decisions over 7.5 days.
Decisions were categorized based on the type of evidence used, from anecdotal to published studies.

Main Results:

A total of 1188 decisions were recorded (158 per day).
Approximately 80% of decisions lacked a basis in prior published data.
Fewer than 3% of decisions were supported by studies directly relevant to the clinical question.

Conclusions:

Most real-time clinical decisions by physicians lack formal evidence citation.
Developing new methods to create an evidence base from clinical decisions is crucial for healthcare reform.