Decision Making In Medicine

This work translates the major principles of medical decision making into clinically revelant and easy to understand terms. It aims to help the reader feel confident about giving the best advice in the face of inherent uncertainties of real-world medicine.

Tells doctors and students how to evaluate complex clinical information to improve health care.

Clinical Decision Making in Complementary and amp; Alternative Medicine differs from other medical texts by introducing a systematic clinical framework for the practice of complementary and alternative medicine. While comparable titles may explore the use or efficacy of specific complementary and alternative medicine interventions, this indispensible textbook highlights evidence-based interventions, while helping practitioners apply them within a clinical decision making framework. Clinical Decision Making in Complementary and amp; Alternative Medicine is a one-of-a-kind health reference for clinicians, stu

A guide for everyone involved in medical decision making to plot a clear course through complex and conflicting benefits and risks.

This book offers an overview of the main questions arising when biomedical decision-making intersects ethical decision-making. It reports on two ethical decision-making methodologies, one addressing the patients, the other physicians. It shows how patients’ autonomous choices can be empowered by increasing awareness of ethical deliberation, and at the same time it supports healthcare professionals in developing an ethical sensitivity, which they can apply in their daily practice. The book highlights the importance and relevance of practicing bioethics in the age of personalized medicine. It presents concrete cases studies dealing with cancer and genetic diseases, where difficult decisions need to be made by all the parties involved: patients, physicians and families. Decisions concern not only diagnostic procedures and treatments, but also moral values, religious beliefs and ways of seeing life and death, thus adding further layers of complexity to biomedical decision-making. This book, which is strongly rooted in the philosophical tradition, features non-directive counseling and patient-centeredness. It provides a concise yet comprehensive and practice-oriented guide to decision-making in modern healthcare.

The book covers various scenarios when errors, biases and systemic barriers prevail in emergency medicine, discusses their impact, and then offers solutions to mitigate their undesired outcomes. The process of clinical reasoning in emergency medicine is a complex exercise in cognition, judgment and problem-solving that is prone to mistakes. The book presents various cases written by a team of emergency specialists and trainees in an engaging format that is helpful for the practicing and teaching emergency doctor and trainees. The book discusses 60 different types of biases and errors with clinical cases, and knowledge of strategies to mitigate them—a concept known as ‘cognitive debiasing’ that has the potential to reduce diagnostic error, and therefore, morbidity and mortality. It aims to help the readers during assessment of patients in the emergency department. Each chapter includes 4 cases illustrating the bias, error or barrier discussed, followed by a potential solution. This book helps in polishing the thinking and behavior of the readers so to potentially enhance their clinical competence in emergency department.

"In the evaluation of healthcare, rigorous methods of quantitative assessment are necessary to establish interventions that are beneficial, are superior to all alternatives and are cost-effective. Usually one study will not provide answers to these questions and it will be necessary to synthesize evidence from multiple sources. This book aims to outline a coherent approach to such evidence synthesis, for the purpose of decision making. Each chapter contains worked examples, exercises and solutions drawn from a variety of medical disciplines Evidence Syntesis for Decision Making intends to provide a practical guide to the appropriate methods for synthesizing evidence for use in analytical decision models. More specifically, it proposes a comprehensive evidence synthesis framework, which models all the available data appropriately and efficiently in a format that can be incorporated directly into a decision model."--publisher website.

While most practicing pharmacists are familiar with the term and the general concept of evidence-based medicine, few are adequately trained in the clinical application of these skills. Developed to give clinical pharmacists an edge, this book provides a practical approach for applying sound EBM principles to your clinical decision making process. Decision making based on personal experience alone, without knowledge from well-designed, controlled, randomized trials with adequate sample size, often overestimates the efficacy and underestimates the safety risks associated with drugs. This book provides a roadmap that is instructional and, most importantly, practical for the pharmacist so these new skills can be applied immediately in practice. Based on a five-step process perfected over ten years at the University of Missouri, Kansas City, School of Pharmacy, this exciting new approach will: · Reduce complexity · Shorten time for decision making support · Maintain rigor · Categorize quality of the evidence in a simple, straightforward, and logical manner · Provide a process designed specifically for pharmacists making drug therapy decisions Use of examples, tables, diagrams, and key points highlighted throughout the book and summarized at the end of each chapter provide the pharmacist with skills they can implement the next day to begin applying EBM principles to their practice.

Over the past decade health care systems around the world have placed increasing importance on the relationship between patient choice and clinical decision-making. In the years since the publication of the second edition of Shared Decision Making in Health Care, there have been significant new developments in the field, most notably in the US where 'Obamacare' puts shared decision making (SDM) at the centre of the 2009 Affordable Care Act. This new edition explores shared decision making by examining, from practical and theoretical perspectives, what should comprise an effective decision-making process. It also looks at the benefits and potential difficulties that arise when patients and clinicians share health care decisions. Written by leading experts from around the world and utilizing high quality evidence, the book provides an up-to-date reference with real-word context to the topics discussed, and in-depth coverage of the practicalities of implementing and teaching SDM. The breadth of information in Shared Decision Making in Health Care makes it the definitive source of expert knowledge for healthcare policy makers. As health care systems adapt to increasingly collaborative patient-clinician care frameworks, this will also prove a useful guide to SDM for clinicians of all disciplines.

DECISION MAKING IN MEDICINE offers an algorithmic approach to the diagnosis and treatment of common disorders and diseases. By providing nearly 250 clinical decision making algorithms, this practical reference helps you arrive at the proper diagnosis and also leads you to the appropriate therapy or course of action. Brief text appears on the page facing each algorithm to provide additional explanations or details about key decision points on the algorithm. Topics are organized by sign, symptom, problem, or laboratory abnormality. The consistent format and decision tree approach of DECISION MAKING IN MEDICINE is certain to enhance your clinical efficiency.

This book clarifies the meaning of the most important and pervasive concepts and tools in bioethical argumentation (principles, values, dignity, rights, duties, deliberation, prudence) and assesses the methodological suitability of the main methods for clinical decision-making and argumentation. The first part of the book is devoted to the most developed or promising approaches regarding bioethical argumentation, namely those based on principles, values and human rights. The authors then continue to deal with the contributions and shortcomings of these approaches and suggest further developments by means of substantive and procedural elements and concepts from practical philosophy, normative systems theory, theory of action, human rights and legal argumentation. Furthermore, new models of biomedical and health care decision-making, which overcome the aforementioned criticism and stress the relevance of the argumentative responsibility, are included.