Decision making with conflicting information: influencing factors and best practice guidelines

2020 ◽  
pp. 1-21
Author(s):  
Meredith B. Carroll ◽  
Paige L. Sanchez
Keyword(s):  
Decision Making ◽  
Influencing Factors ◽  
Practice Guidelines ◽  
Best Practice ◽  
Conflicting Information ◽  
Best Practice Guidelines

scholarly journals Best practice guidelines for management of spinal disorders in skeletal dysplasia

2020 ◽  
Author(s):  
Klane White ◽  
Michael B Bober ◽  
Tae-Joon Cho ◽  
Michael J Goldberg ◽  
Julie Hoover-Fong ◽  
...  
Keyword(s):  
Decision Making ◽  
Practice Guidelines ◽  
Skeletal Dysplasia ◽  
Best Practice ◽  
Clinical Decision Making ◽  
Case Series ◽  
Clinical Decision ◽  
Spinal Disorders ◽  
Best Practice Guidelines ◽  
Group A

Abstract Background: Disorders of the spine present a common and difficult management concern in patients with skeletal dysplasia. Due to the rarity of these conditions however, the literature, largely consisting of small, single institution case series, is sparse in regard to well-designed studies to support clinical decision making in these situations. Methods: Using the Delphi method, an international, multi-disciplinary group of individuals, with significant experience in the care of patients with skeletal dysplasia, convened to develop multi-disciplinary, “best practice” guidelines in the care of spinal disorders in patients with skeletal dysplasia. Results: Starting with 33 statements, the group a developed a list of 31 “best practice” guidelines. Conclusions: The guidelines are presented and discussed to provide context for clinicians in their decision making in this often-challenging realm of care.

scholarly journals Best Practice Guidelines in Managing the Craniofacial Aspects of Skeletal Dysplasia

2020 ◽  
Author(s):  
Ravi Savarirayan ◽  
David E. Tunkel ◽  
Laura M. Sterni ◽  
Michael B. Bober ◽  
Tae-Joon Cho ◽  
...  
Keyword(s):  
Decision Making ◽  
Practice Guidelines ◽  
Delphi Method ◽  
Skeletal Dysplasia ◽  
Best Practice ◽  
Clinical Decision Making ◽  
Subsequent Development ◽  
Clinical Decision ◽  
Best Practice Guidelines ◽  
Disciplinary Group

Abstract Background Recognition and appropriate management of the craniofacial manifestations of patients with skeletal dysplasia are challenging, due to the rarity of these conditions, and dearth of literature to support evidence-based clinical decision making. Methods Using the Delphi method, an international, multi-disciplinary group of individuals, with significant experience in the care of patients with skeletal dysplasia, convened to develop multi-disciplinary, best practice guidelines in the management of craniofacial aspects of these patients. Results After a comprehensive literature review, 23 initial statements were generated and critically discussed, with subsequent development of a list of 22 best practice guidelines after a second round voting. Conclusions The guidelines are presented and discussed to provide context and assistance for clinicians in their decision making in this important and challenging component of care for patients with skeletal dysplasia, in order standardize care and improve outcomes.

scholarly journals Best practice guidelines in managing the craniofacial aspects of skeletal dysplasia

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ravi Savarirayan ◽  
◽  
David E. Tunkel ◽  
Laura M. Sterni ◽  
Michael B. Bober ◽  
...  
Keyword(s):  
Decision Making ◽  
Practice Guidelines ◽  
Delphi Method ◽  
Skeletal Dysplasia ◽  
Best Practice ◽  
Clinical Decision Making ◽  
Subsequent Development ◽  
Clinical Decision ◽  
Best Practice Guidelines ◽  
Disciplinary Group

Abstract Background Recognition and appropriate management of the craniofacial manifestations of patients with skeletal dysplasia are challenging, due to the rarity of these conditions, and dearth of literature to support evidence-based clinical decision making. Methods Using the Delphi method, an international, multi-disciplinary group of individuals, with significant experience in the care of patients with skeletal dysplasia, convened to develop multi-disciplinary, best practice guidelines in the management of craniofacial aspects of these patients. Results After a comprehensive literature review, 23 initial statements were generated and critically discussed, with subsequent development of a list of 22 best practice guidelines after a second round voting. Conclusions The guidelines are presented and discussed to provide context and assistance for clinicians in their decision making in this important and challenging component of care for patients with skeletal dysplasia, in order standardize care and improve outcomes.

Crisis management and human factors

2020 ◽  
pp. 1-8
Author(s):  
Simon Mercer
Keyword(s):  
Decision Making ◽  
Human Factors ◽  
Mental Models ◽  
Crisis Management ◽  
Psychological Stress ◽  
Practice Guidelines ◽  
Best Practice ◽  
Situational Awareness ◽  
Best Practice Guidelines ◽  
National Quality

This first chapter explains how human factors affect the management of crises. The roles human factors play in the management of emergencies and crisis situations are becoming increasingly recognized in healthcare, having gained political momentum following a concordat from the National Quality Board in 2013. A framework is presented for emergency preparation, including standard operating procedures, checklists, allocation of roles, preparing equipment and drugs, sharing mental models, and communicating with support specialists. During the incident the focus is on situational awareness, leadership and teamwork, communication, and decision-making. Post-event debriefing is discussed with the joint goals of addressing psychological stress and learning for the future. Also provided are links to available up-to-date best-practice guidelines and useful resources for further reading.

Psychological Assumptions Underlying Credibility Assessments in Finnish Asylum Determinations

2021 ◽  
Author(s):  
Jenny Skrifvars ◽  
Veronica Sui ◽  
Jan Antfolk ◽  
Tanja van Veldhuizen ◽  
Julia Korkman
Keyword(s):  
Decision Making ◽  
Intercultural Communication ◽  
Practice Guidelines ◽  
Best Practice ◽  
Training Programs ◽  
Real Life ◽  
Decision Makers ◽  
Psychological Science ◽  
Best Practice Guidelines ◽  
Immigration Service

Current best-practice guidelines for credibility assessments in asylum procedures have been criticized for their susceptibility to subjectivity and bias. The current study investigated assumptions underlying credibility assessments in Finnish first-instance asylum procedures and how these assumptions fit with widely accepted psychological science. Following previous research, we categorized assumptions in 56 real-life asylum cases from the Finnish Immigration Service. We found that asylum officials held assumptions about how truthful applicants present their claims, the plausibility of individuals’ behavior in their home countries, and applicants’ knowledge about asylum procedures. The assumptions were only partially in line with psychological science on memory, trauma, intercultural communication, and decision-making. To improve decision-making, training programs for asylum officials should include relevant findings from psychological science. To increase the transparency and combat bias, the written determination letters should also include explicit information about the decision-makers reasoning processes.

scholarly journals Best practice guidelines for management of spinal disorders in skeletal dysplasia

2020 ◽  
Author(s):  
Klane White ◽  
Michael B Bober ◽  
Tae-Joon Cho ◽  
Michael J Goldberg ◽  
Julie Hoover-Fong ◽  
...  
Keyword(s):  
Decision Making ◽  
Practice Guidelines ◽  
Skeletal Dysplasia ◽  
Best Practice ◽  
Clinical Decision Making ◽  
Case Series ◽  
Clinical Decision ◽  
Spinal Disorders ◽  
Best Practice Guidelines ◽  
Group A

Abstract Background: Disorders of the spine present a common and difficult management concern in patients with skeletal dysplasia. Due to the rarity of these conditions however, the literature, largely consisting of small, single institution case series, is sparse in regard to well-designed studies to support clinical decision making in these situations. Methods: Using the Delphi method, an international, multi-disciplinary group of individuals, with significant experience in the care of patients with skeletal dysplasia, convened to develop multi-disciplinary, “best practice” guidelines in the care of spinal disorders in patients with skeletal dysplasia. Results: Starting with 33 statements, the group a developed a list of 31 “best practice” guidelines. Conclusions: The guidelines are presented and discussed to provide context for clinicians in their decision making in this often-challenging realm of care.

scholarly journals Best practice guidelines in managing the craniofacial aspects of skeletal dysplasia

2021 ◽  
Author(s):  
Ravi Savarirayan ◽  
David E. Tunkel ◽  
Laura M. Sterni ◽  
Michael B. Bober ◽  
Tae-Joon Cho ◽  
...  
Keyword(s):  
Decision Making ◽  
Practice Guidelines ◽  
Delphi Method ◽  
Skeletal Dysplasia ◽  
Best Practice ◽  
Clinical Decision Making ◽  
Subsequent Development ◽  
Clinical Decision ◽  
Best Practice Guidelines ◽  
Disciplinary Group

Abstract Background: Recognition and appropriate management of the craniofacial manifestations of patients with skeletal dysplasia are challenging, due to the rarity of these conditions, and dearth of literature to support evidence-based clinical decision making.Methods: Using the Delphi method, an international, multi-disciplinary group of individuals, with significant experience in the care of patients with skeletal dysplasia, convened to develop multi-disciplinary, best practice guidelines in the management of craniofacial aspects of these patients.Results: After a comprehensive literature review, 23 initial statements were generated and critically discussed, with subsequent development of a list of 22 best practice guidelines after a second round voting.Conclusions: The guidelines are presented and discussed to provide context and assistance for clinicians in their decision making in this important and challenging component of care for patients with skeletal dysplasia, in order standardize care and improve outcomes.

Opioid crisis in primary care? An audit of high-dose opioid prescribing at Bangholm GP Practice

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711581
Author(s):  
Charlotte Greene ◽  
Alice Pearson
Keyword(s):  
Chronic Pain ◽  
Back Pain ◽  
Practice Guidelines ◽  
Best Practice ◽  
Evidence Base ◽  
High Dose ◽  
Opioid Prescription ◽  
Opioid Prescribing ◽  
Best Practice Guidelines

BackgroundOpioids are effective analgesics for acute and palliative pain, but there is no evidence base for long-term pain relief. They also carry considerable risks such as overdose and dependence. Despite this, they are increasingly prescribed for chronic pain. In the UK, opioid prescribing more than doubled between 1998 and 2018.AimAn audit at Bangholm GP Practice to understand the scale of high-strength opioid prescribing. The aim of the audit was to find out if indications, length of prescription, discussion, and documentation at initial consultation and review process were consistent with best-practice guidelines.MethodA search on Scottish Therapeutics Utility for patients prescribed an average daily dose of opioid equivalent ≥50 mg morphine between 1 July 2019 and 1 October 2019, excluding methadone, cancer pain, or palliative prescriptions. The Faculty of Pain Medicine’s best-practice guidelines were used.ResultsDemographics: 60 patients (37 females), average age 62, 28% registered with repeat opioid prescription, 38% comorbid depression. Length of prescription: average 6 years, 57% >5 years, 22% >10 years. Opioid: 52% tramadol, 23% on two opioids. Indications: back pain (42%), osteoarthritis (12%), fibromyalgia (10%). Initial consultation: 7% agreed outcomes, 35% follow-up documented. Review: 56% 4-week, 70% past year.ConclusionOpioid prescribing guidelines are not followed. The significant issues are: long-term prescriptions for chronic pain, especially back pain; new patients registering with repeat prescriptions; and no outcomes of treatment agreed, a crucial message is the goal is pain management rather than relief. Changes have been introduced at the practice: a patient information sheet, compulsory 1-month review for new patients on opioids, and in-surgery pain referrals.

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