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Cognitive challenges to minimising low value care
Author(s) -
Scott Ian A.
Publication year - 2017
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.13536
Subject(s) - rule of thumb , medicine , odds , cognition , value (mathematics) , scientific evidence , cognitive bias , simple (philosophy) , tacit knowledge , evidence based medicine , cognitive psychology , risk analysis (engineering) , knowledge management , alternative medicine , computer science , psychology , machine learning , psychiatry , epistemology , philosophy , logistic regression , algorithm , pathology
Abstract Clinical decisions often rely on pattern recognition, simple rules of thumb, tacit knowledge and habit. In many instances, such intuitive decisions are fast and accurate, but they can be subject to cognitive biases leading to delivery of care of low value at odds with scientific evidence of best practice. If programmes, such as EVOLVE (Evaluating Evidence, Enhancing Efficiencies) and Choosing Wisely are to have maximal impact in minimising low value care, such biases, and the factors that hide and accentuate them, need to be exposed and addressed in a collegiate and non‐judgemental manner.