Is a nudge all we need to promote deliberate clinical inertia and thoughtful clinical decision making?
| Autor: | Louise Cullen, Diana Egerton-Warburton, Daniel M Fatovich, Mieke Foster, Gerben Keijzers |
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| Rok vydání: | 2021 |
| Předmět: |
Quality management
business.industry Clinical Decision-Making Decision Making Psychological intervention Context (language use) Public relations Test (assessment) Thinking Critical thinking Multidisciplinary approach Knowledge translation Scale (social sciences) Emergency Medicine Humans Medicine business |
| Zdroj: | Emergency Medicine Australasia. 33:748-752 |
| ISSN: | 1742-6723 1742-6731 |
| Popis: | Deliberate clinical inertia is the art of doing nothing as a positive response. Individual clinicians can promote deliberate clinical inertia through teaching, re-framing the act of 'doing nothing' as 'doing something' and engaging in shared decision making. Behaviour change on a larger scale requires a systematic approach. Nudging is a subtle change to the decision-making context to prompt specific choices. A nudge unit is a team of relevant professionals who engage with various multidisciplinary teams within a health service who help test and implement nudge interventions in a clinical environment. A nudge unit could be used to design environments to prompt clinicians to re-think before ordering unnecessary tests or treatments. Nudge units could improve knowledge translation, support continuous quality improvement and help build a learning health system. They could also boost collaboration and empower staff to evaluate their workplace decision-making frameworks. |
| Databáze: | OpenAIRE |
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