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Updated: Apr 21, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Medical decision making in emergency care
Sheila Sanning Shea1, K Sue Hoyt
1St. Mary Medical Center, Long Beach, California.
Abstract:
The role of the nurse practitioner (NP) or physician assistant (PA) in the emergent or urgent care setting requires proficient assessment skills in addition to the constant integration of information that leads to a sound medical decision-making (MDM) process. In every patient encounter, the NP/PA must efficiently gather adequate data to formulate a "hypothesis" and rapidly consider many "possible or probable" diagnoses to reach the most likely conclusion regarding the patient's condition. This MDM process requires deliberate thought and a higher level of cognitive functioning to process and analyze data and draw conclusions.
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