Open AccessBetter clinical decision making and reducing diagnostic error
Author(s) -
Pat Croskerry,
Graham R. Nimmo
Publication year - 2011
Publication title -
journal of the royal college of physicians of edinburgh/the journal of the royal college of physicians of edinburgh
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.275
H-Index - 26
eISSN - 2042-8189
pISSN - 1478-2715
DOI - 10.4997/jrcpe.2011.208
Subject(s) - assertion , process (computing) , nihilism , clinical decision making , computer science , decision making , dual process theory (moral psychology) , management science , psychology , medicine , epistemology , cognition , intensive care medicine , operations management , psychiatry , philosophy , purchasing , economics , programming language , operating system
A major amount of our time working in clinical practice involves thinking and decision making. Perhaps it is because decision making is such a commonplace activity that it is assumed we can all make effective decisions. However, this is not the case and the example of diagnostic error supports this assertion. Until quite recently there has been a general nihilism about the ability to change the way that we think, but it is now becoming accepted that if we can think about, and understand, our thinking processes we can improve our decision making, including diagnosis. In this paper we review the dual process model of decision making and highlight ways in which decision making can be improved through the application of this model to our day-to-day practice and by the adoption of de-biasing strategies and critical thinking.