Clinical decision making: An emergency medicine perspective

被引：101
|
作者：
Kovacs, G
Croskerry, P
机构：
[1] Queen Elizabeth II Hlth Sci Ctr, Dept Emergency Med, Halifax, NS B3H 3A7, Canada
[2] Dalhousie Univ, Div Emergency Med, Halifax, NS, Canada
[3] Dalhousie Univ, Div Med Educ, Halifax, NS, Canada
[4] Gen Hosp, Dept Emergency Med, Dartmouth, NS, Canada
来源：
ACADEMIC EMERGENCY MEDICINE | 1999年 / 6卷 / 09期
关键词：
clinical decision making; clinical reasoning; cognitive errors;
D O I：
10.1111/j.1553-2712.1999.tb01246.x
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Clinical decision making (CDM) describes a form of qualitative inquiry that examines the thought processes involved in making medical decisions. A significant body of literature exists on the orderly "hypothetico-deductive" model of clinical decision making. However, very little has been written on how CDM differs in the acute setting. This paper reviews the common methods of CDM and their relevance to emergency medicine (EM). The concept of diagnostic uncertainty and the utility of the diagnosis of unknown etiology in the disposition phase of the emergency patient visit are discussed. Finally, a unique EM perspective on clinical decision-making errors is presented.
引用
收藏
页码：947 / 952
页数：6
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