Date: 09 Mar 2010
Medical Decision Making: What Do We Trust?
- David A. Cook MD, MHPE
- … show all 1 hide
As computers become increasingly powerful, ubiquitous, and integrated into clinical practice, it seems logical that health professionals should use them to support their clinical practice. Unfortunately, the benefits of computerized clinical decision support have not yet been fully realized.1 In this issue of JGIM, Medow et al. report a study attempting to clarify our understanding of this problem.2 Medical residents first committed to a course of action (admit a hypothetical patient with pneumonia to the floor or the intensive care unit) and then received management advice that contradicted their decision. The “intervention” in this study was the source of advice–either an “expert pulmonologist” or a “decision aid” message citing an evidence-based prediction rule (the case was constructed so that two prediction rules3,4 would each justify a different management approach). The investigators found that residents paid more attention to the decision aid, suggesting that the failure to inc...
Medow MA, Arkes HR, Shaffer VA. Are residents’ decisions influenced more by a decision aid or a specialist’s opinion? a randomized controlled trial. J Gen Intern Med. 2010;[Epub ahead of print].
- Medical Decision Making: What Do We Trust?
Journal of General Internal Medicine
Volume 25, Issue 4 , pp 282-283
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Industry Sectors
- Author Affiliations
- 1. Division of General Internal Medicine and Office of Education Research, College of Medicine, Mayo Clinic, Rochester, MN, USA