• Emerg Med Australas · Aug 2018

    Deliberate clinical inertia: Using meta-cognition to improve decision-making.

    • Gerben Keijzers, Daniel M Fatovich, Diana Egerton-Warburton, Louise Cullen, Ian A Scott, Paul Glasziou, and Pat Croskerry.
    • Department of Emergency Medicine, Gold Coast University Hospital, Gold Coast, Queensland, Australia.
    • Emerg Med Australas. 2018 Aug 1; 30 (4): 585-590.

    AbstractDeliberate clinical inertia is the art of doing nothing as a positive response. To be able to apply this concept, individual clinicians need to specifically focus on their clinical decision-making. The skill of solving problems and making optimal clinical decisions requires more attention in medical training and should play a more prominent part of the medical curriculum. This paper provides suggestions on how this may be achieved. Strategies to mitigate common biases are outlined, with an emphasis on reversing a 'more is better' culture towards more temperate, critical thinking. To incorporate such an approach in medical curricula and in clinical practice, institutional endorsement and support is required.© 2018 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

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