Clinical Decision Making Models Alireza Vasefnia 2020
Intuition, unsystematic clinical experience, pathophysiological rationale
Scientific Clinically Relevant Research
Evidence-Based Medicine (EBM) introduced by Guyatt et al in 1992
Evidence-Based Practice (EBP)
the information-processing model
the intuitive-humanist model
Clinical decision-making is a unique process that involves the interplay between knowledge of pre-existing pathological conditions, explicit patient information, nursing care and experiential learning.
Integration of EBP into the clinical decision making process includes careful consideration of : (ASHA, 2005; Fey & Justice, 2004)
I-DECIDED clinical decision-making tool
Clinical decision support (CDS) provides clinicians, staff, patients or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and health care. CDS encompasses a variety of tools to enhance decision-making in the clinical workflow.
Documentation Forms & Templates
Guided Clinical Workflows
Alerts & Reminders
North suggests that the purpose of visualizations is to help readers derive insights. A measure of an effective visualization is its ability to generate new insights that go beyond predefined data analysis tasks
Australian “My Health Record” initiative
computerized solution to visualize clinical data chronologically
TimeLine is a visualization software that displays EHRs chronologically
Continuous Improvement of Knowledge and CDS Methods
Pillar 1: Best Knowledge Available When Needed
Pillar 2: High Adoption and Effective Use
Pillar 3: Continuous Improvement of Knowledge and CDS Methods
Strategic Objective A: Represent clinical knowledge and CDS interventions in standardized formats
Strategic Objective B:Collect, organize, and distribute clinical knowledge and CDS interventions
Strategic Objective C:Address policy/legal/financial barriers and create additional support and enablers
Strategic Objective D: Improve clinical adoption and usage of CDS interventions
Strategic Objective E:Assess and refine the national experience with CDS
Strategic Objective F:Advance care-guiding knowledge