Deliberate clinical inertia: Using meta-cognition to improve decision-making
Gerben Keijzers1,2,3, Daniel M Fatovich4,5, Diana Egerton-Warburton6
1Department of Emergency Medicine, Gold Coast University Hospital, Gold Coast, Queensland, Australia.
Emergency Medicine Australasia : EMA
|July 3, 2018
Summary
Deliberate clinical inertia, a positive approach to patient care, requires enhanced clinical decision-making skills. Medical training should prioritize critical thinking and problem-solving to combat biases and improve patient outcomes.
Area of Science:
- Medical Education
- Clinical Decision-Making
- Healthcare Management
Background:
- Clinical inertia, often perceived negatively, can be a deliberate and positive clinical strategy.
- Effective application requires clinicians to refine their decision-making processes.
Purpose of the Study:
- To explore the concept of deliberate clinical inertia as a positive clinical approach.
- To advocate for enhanced focus on clinical decision-making and critical thinking in medical training.
Main Methods:
- Review of clinical decision-making strategies.
- Outline of methods to mitigate cognitive biases.
- Emphasis on shifting from a 'more is better' approach to critical evaluation.
Main Results:
- Deliberate clinical inertia necessitates focused attention on individual clinical decision-making.
- Medical curricula require integration of problem-solving and optimal decision-making skills.
- Strategies exist to counteract biases and promote temperate, critical thinking.
Conclusions:
- Integrating deliberate clinical inertia into medical education and practice requires institutional support.
- Enhanced training in critical thinking and decision-making is crucial for healthcare professionals.
- A shift towards thoughtful, evidence-based inaction can improve patient care.
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