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Internal and Emergency Medicine

, Volume 13, Issue 5, pp 791–793 | Cite as

Understanding and improving decisions in clinical medicine (IV): prospects and challenges of nudging in healthcare

  • Vincenzo Crupi
  • Fabrizio Calzavarini
  • Fabrizio Elia
  • Franco Aprà
CE - Clinical Notes
  • 106 Downloads

Key Points

The cognitive science of human decision making suggests a novel kind of approach to modifying people’s behavior: nudging.

A nudge intervention implies a non-coercive and typically small change of the choice context that exploits inherent tendencies of agents in order to promote beneficial outcomes.

Studies show that—if properly motivated, devised, and tested—nudges can improve practice in internal and emergency medicine facilities.

Nudge interventions are not meant to displace more traditional tools to promote beneficial behavior (training, regulations), but to combine with them.

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Statement of human and animal rights

This article does not contain any studies with human and animals performed by any of the authors.

Informed consent

None.

References

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    Bourdeaux CP, Thomas MJ, Gould TH et al (2016) Increasing compliance with low tidal volume ventilation in the ICU with two nudge-based interventions: evaluation through intervention time-series analyses. BMJ Open 6(5):e010129CrossRefPubMedPubMedCentralGoogle Scholar
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    Caris MG, Labuschagne HA, Dekker M, Kramer MHH, van Agtmael MA, Vandenboucke-Grauls CMJE (2017) Nudging to improve hand hygiene. J Hosp Infect.  https://doi.org/10.1016/j.jhin.2017.09.023 PubMedGoogle Scholar
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    Keeney RL (2008) Personal decisions are the leading cause of death. Op Res 56(6):1335–1347CrossRefGoogle Scholar

Copyright information

© SIMI 2018

Authors and Affiliations

  1. 1.Center for Logic, Language, and Cognition, Department of Philosophy and EducationUniversity of TurinTurinItaly
  2. 2.High Dependency UnitSan Giovanni Bosco HospitalTurinItaly

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