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Reflections in the clinical practice.

F Borrell-Carrió1, J C Hernández-Clemente2

  • 1Departament de Ciències Clíniques, Facultad de Medicina, Universitat de Barcelona, EAP Gavarra, Institut Català de la Salut, Barcelona, España.

Revista Clinica Espanola
|January 29, 2014
PubMed
Summary
This summary is machine-generated.

This study examines expert decision-making models in clinical practice, highlighting cognitive factors and emotions. It proposes an educational strategy to enhance medical decision quality through supervision and error analysis.

Keywords:
Clinical decision-makingDecision makingPatient safetyProfessional practicePráctica profesionalSeguridad del pacienteToma de decisionesToma de decisiones clínicas

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Area of Science:

  • Medical Decision Making
  • Cognitive Psychology
  • Clinical Practice

Background:

  • Expert decision-making models are crucial in clinical practice.
  • Cognitive aspects like explanatory models, perceptual skills, and reasoning habits influence decisions.
  • Emotions play a significant role in complex clinical situations.

Purpose of the Study:

  • To analyze expert decision-making models and their clinical impact.
  • To incorporate cognitive factors and emotions into decision-making analysis.
  • To propose an educational strategy for improving medical decision quality.

Main Methods:

  • Analysis of cognitive models of decision-making.
  • Inclusion of emotional factors in complex clinical scenarios.
  • Examination of metacognition's role in decision quality.

Main Results:

  • Cognitive factors and emotional states significantly impact clinical decisions.
  • Metacognition is essential for high-quality reflective decision-making.
  • Existing models require integration of psychological and emotional dimensions.

Conclusions:

  • Improving medical decision-making requires understanding cognitive and emotional influences.
  • An educational strategy involving task supervision and error rectification can enhance clinical judgment.
  • Further research into metacognitive training for clinicians is warranted.