Clinical decision making in acute medicine

M Trimble1, K Hennessy2

  • 1Clinical Reader, Centre for Medical Education, Queen's University, Belfast and Consultant in Acute Medicine, Royal Victoria Hospital, Belfast.

Acute Medicine
|February 22, 2023
PubMed
Summary

This paper explores how doctors make decisions when diagnosing patients, especially in urgent medical situations. It reviews the process of clinical reasoning and how cognitive biases can lead to errors in diagnosis. The authors suggest that structured training in reflective practice and metacognition could help clinicians improve diagnostic accuracy. They also propose that integrating insights from psychology and philosophy into medical education could enhance decision-making skills. The study does not claim to offer definitive solutions but suggests that these approaches may help reduce diagnostic errors in clinical practice.

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