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The human brain processes information for decision-making using one of two routes: an intuitive system and a rational system (Epstein, 1994; popularized by Kahneman, 2011 as System 1 and System 2, respectively). The intuitive system is quick, impulsive, and operates with minimal effort, relying on emotions or habits to provide cues for what to do next, while the rational system is logical, analytical, deliberate, and methodical. Research in neuropsychology suggests that the...
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[Choosing Wisely: rationale, implementation, and evaluation].

Gerd Hasenfuß1, Ulrich R Fölsch2

  • 1Herzzentrum Göttingen, Universitätsmedizin Göttingen (UMG), Göttingen, Deutschland.

Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen
|November 22, 2017
PubMed
Summary
This summary is machine-generated.

The German Society for Internal Medicine's "Klug entscheiden" (Choosing Wisely) initiative promotes high-quality medical care by addressing overuse and underuse of treatments. It has released 115 recommendations to improve clinical decision-making.

Keywords:
Choosing WiselyChoosing Wisely in teachingDGIM/BDI* certificate “Klug entscheiden”DGIM/BDI-Zertifikat „Klug entscheiden“IndikationsqualitätKlug entscheidenKlug entscheiden in der Lehrequality of medical indication

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Area of Science:

  • Internal Medicine
  • Medical Quality Management

Background:

  • The
  • Klug entscheiden
  • (Choosing Wisely) initiative was launched by the German Society for Internal Medicine (DGIM).
  • It aims to improve the quality of medical indications by identifying and addressing both overuse and underuse of medical and therapeutic interventions.

Purpose of the Study:

  • To describe the development and dissemination of
  • Klug entscheiden
  • recommendations.
  • To highlight the initiative's impact on medical education and clinical practice.

Main Methods:

  • Development of recommendations by 12 specialist societies and DGIM-associated societies.
  • Evaluation and approval of recommendations by a multidisciplinary commission.
  • Dissemination through print, radio, and television media.

Main Results:

  • Since 2016, 115 positive and negative recommendations have been developed and released.
  • Physicians can obtain a "Klug entscheiden" certificate.
  • Implementation in medical education has begun.

Conclusions:

  • Wide dissemination and discussion foster hope for practical implementation of recommendations.
  • The initiative is expected to increase awareness of the importance of high-quality medical indications.
  • Future work includes developing recommendations for prospective implementation evaluation.