Reflections in the clinical practice.
The purpose of this article is to analyze some models of expert decision and their impact on the clinical practice. We have analyzed decision-making considering the cognitive aspects (explanatory models, perceptual skills, analysis of the variability of a phenomenon, creating habits and inertia of reasoning and declarative models based on criteria). We have added the importance of emotions in decision making within highly complex situations, such as those occurring within the clinical practice. The quality of the reflective act depends, among other factors, on the ability of metacognition (thinking about what we think). Finally, we propose an educational strategy based on having a task supervisor and rectification scenarios to improve the quality of medical decision making.
Departament de Ciències Clíniques, Facultad de Medicina, Universitat de Barcelona, EAP Gavarra, Institut Català de la Salut, Barcelona, España.
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Borrell-Carrió
Departamento de Psiquiatría, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, España. Electronic address: jcarloshc18@hotmail.com.
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Hernández-Clemente
D003071:Cognition / Q000502:physiology*; D003657:Decision Making; D003695:Delivery of Health Care / Q000379:methods / Q000592:standards; D004644:Emotions; D006801:Humans; D008962:Models, Theoretical; D013850:Thinking
Clinical decision-making; Decision making; Patient safety; Professional practice; Práctica profesional; Seguridad del paciente; Toma de decisiones; Toma de decisiones clínicas