Deliberate clinical inertia: Using meta-cognition to improve decision-making

作者：Keijzers, Gerben^*; Fatovich, Daniel M.; Egerton-Warburton, Diana; Cullen, Louise; Scott, Ian A.; Glasziou, Paul; Croskerry, Pat

来源：Emergency Medicine Australasia, 2018, 30(4): 585-590.

DOI：10.1111/1742-6723.13126

• clinical decision-making
• cultural change
• human factors
• over-diagnosis

Deliberate clinical inertia is the art of doing nothing as a positive response. To be able to apply this concept, individual clinicians need to specifically focus on their clinical decision-making. The skill of solving problems and making optimal clinical decisions requires more attention in medical training and should play a more prominent part of the medical curriculum. This paper provides suggestions on how this may be achieved. Strategies to mitigate common biases are outlined, with an emphasis on reversing a 'more is better' culture towards more temperate, critical thinking. To incorporate such an approach in medical curricula and in clinical practice, institutional endorsement and support is required.

• 出版日期2018-8
• 单位河北医科大学