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, Pat Croskerry

Research output: Contribution to journalEditorial

8 Citations (Scopus)

Abstract

Deliberate 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.

Original languageEnglish
Pages (from-to)585-590
Number of pages6
JournalEmergency Medicine Australasia
Volume30
Issue number4
DOIs
Publication statusPublished - Aug 2018

Cite this

Keijzers, G., Fatovich, D. M., Egerton-Warburton, D., Cullen, L., Scott, I. A., Glasziou, P., & Croskerry, P. (2018). Deliberate clinical inertia: Using meta-cognition to improve decision-making. Emergency Medicine Australasia, 30(4), 585-590. https://doi.org/10.1111/1742-6723.13126
Keijzers, Gerben ; Fatovich, Daniel M. ; Egerton-Warburton, Diana ; Cullen, Louise ; Scott, Ian A. ; Glasziou, Paul ; Croskerry, Pat. / Deliberate clinical inertia : Using meta-cognition to improve decision-making. In: Emergency Medicine Australasia. 2018 ; Vol. 30, No. 4. pp. 585-590.
@article{b99100b68dae4a449cffd0d84f3b31d2,
title = "Deliberate clinical inertia: Using meta-cognition to improve decision-making",
abstract = "Deliberate 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.",
keywords = "clinical decision-making, cultural change, human factors, over-diagnosis, PHYSICIANS",
author = "Gerben Keijzers and Fatovich, {Daniel M.} and Diana Egerton-Warburton and Louise Cullen and Scott, {Ian A.} and Paul Glasziou and Pat Croskerry",
year = "2018",
month = "8",
doi = "10.1111/1742-6723.13126",
language = "English",
volume = "30",
pages = "585--590",
journal = "Emergency Medicine",
issn = "1742-6723",
publisher = "John Wiley & Sons",
number = "4",

}

Keijzers, G, Fatovich, DM, Egerton-Warburton, D, Cullen, L, Scott, IA, Glasziou, P & Croskerry, P 2018, 'Deliberate clinical inertia: Using meta-cognition to improve decision-making' Emergency Medicine Australasia, vol. 30, no. 4, pp. 585-590. https://doi.org/10.1111/1742-6723.13126

Deliberate clinical inertia : Using meta-cognition to improve decision-making. / Keijzers, Gerben; Fatovich, Daniel M.; Egerton-Warburton, Diana; Cullen, Louise; Scott, Ian A.; Glasziou, Paul; Croskerry, Pat.

In: Emergency Medicine Australasia, Vol. 30, No. 4, 08.2018, p. 585-590.

Research output: Contribution to journalEditorial

TY - JOUR

T1 - Deliberate clinical inertia

T2 - Using meta-cognition to improve decision-making

AU - Keijzers, Gerben

AU - Fatovich, Daniel M.

AU - Egerton-Warburton, Diana

AU - Cullen, Louise

AU - Scott, Ian A.

AU - Glasziou, Paul

AU - Croskerry, Pat

PY - 2018/8

Y1 - 2018/8

N2 - Deliberate 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.

AB - Deliberate 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.

KW - clinical decision-making

KW - cultural change

KW - human factors

KW - over-diagnosis

KW - PHYSICIANS

U2 - 10.1111/1742-6723.13126

DO - 10.1111/1742-6723.13126

M3 - Editorial

VL - 30

SP - 585

EP - 590

JO - Emergency Medicine

JF - Emergency Medicine

SN - 1742-6723

IS - 4

ER -