Managing Uncertainty During the Communication of Diagnostic Test Information Between Patients and Clinicians in Australian Emergency Care

We sought (a) an inductive understanding of patient and clinician perspectives and experiences of the communication of diagnostic test information and (b) a normative understanding of the management of uncertainty that occurs during the clinical encounter in emergency care. Between 2016 and 2018, 58 interviews were conducted with patients and nursing, medical, and managerial staff. Interview data were sequentially analyzed through an inductive thematic analysis, then a normative theory of uncertainty management. Themes of “Ideals,” “Service Efficiency,” and “Managing Uncertainty” were inductively identified as influencing the communication of diagnostic test information. A normative theory of uncertainty management highlighted (a) how these themes reflected the interaction’s sociocultural context, encapsulated various criteria by which clinicians and patients evaluated the appropriateness and effectiveness of their communication, and represented competing goals during the clinical encounter, and (b) how systemic tensions between themes accounted for when diagnostic test information communication occurred, was deferred or avoided.

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Rough Sets

Rough Computing ◽

10.4018/978-1-59904-552-8.ch005 ◽

2011 ◽

pp. 129-151

Author(s):

Theresa Beaubouef ◽

Frederick E Petry

Keyword(s):

Set Theory ◽

Rough Set ◽

Fuzzy Set ◽

Rough Sets ◽

Rough Set Theory ◽

Object Oriented ◽

Uncertainty Management ◽

Database Model ◽

Management Of Uncertainty ◽

Object Oriented Database

This chapter discusses ways in which rough set theory can enhance databases by allowing for the management of uncertainty. Rough sets can be integrated into an underlying database model, relational or object oriented, and also used in design and querying of databases. Because rough sets are a versatile theory, they can also be combined with other theories. The authors discuss the rough relational database model, the rough object oriented database model, and fuzzy set and intuitionistic set extensions to each of these models. Comparisons and benefits of the various approaches are discussed, illustrating the usefulness and versatility of rough sets for uncertainty management in databases.

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Rough Sets

Database Technologies ◽

10.4018/978-1-60566-058-5.ch065 ◽

2009 ◽

pp. 1127-1150

Author(s):

Theresa Beaubouef ◽

Frederick E. Petry

Keyword(s):

Set Theory ◽

Rough Set ◽

Rough Sets ◽

Relational Databases ◽

Rough Set Theory ◽

Object Oriented ◽

Uncertainty Management ◽

Database Model ◽

Management Of Uncertainty ◽

Object Oriented Database

This chapter discusses ways in which rough-set theory can enhance databases by allowing for the management of uncertainty. Rough sets can be integrated into an underlying database model, relational or object oriented, and also used in the design and uerying of databases, because roughsets are a versatile theory, theories. The authors discuss the rough relational databases model, the rough object-oriented database model, and fuzzy set and intuitionistic set extensions to each of these models. Comparisons and benefits of the various approaches are discussed, illustrating the usefulness and versatility of rough sets for uncertainty management in databases.

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The Management of Uncertainty

Uncertainty in Medicine ◽

10.1093/oso/9780190270582.003.0005 ◽

2021 ◽

pp. 86-110

Author(s):

Paul K.J. Han

Keyword(s):

Uncertainty Management ◽

Moral Virtues ◽

Integrative Framework ◽

Working Definition ◽

Definition Of ◽

Management Of Uncertainty

Chapter 5 presents an approach to managing uncertainty in medicine. It develops the idea of “uncertainty tolerance” as a normative goal for efforts to manage uncertainty. It offers a working definition of uncertainty tolerance as an optimal, adaptive balance in people’s responses to uncertainty and identifies humility, flexibility, and courage as key moral virtues or capacities that enable uncertainty tolerance. The chapter presents a practical integrative framework of uncertainty management that aims to promote uncertainty tolerance through four key tasks: establishing the diagnosis of uncertainty, assessing its prognosis, clarifying goals, and initiating treatment. The chapter uses a case study to explore the potential practical value of the framework in helping clinicians and patients to manage and tolerate the uncertainties they experience.

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The Effectiveness of Automated Nursing Note Recording System: Patient Moving Information and Diagnostic Test Information in Emergency Room

Journal of Korean Society of Medical Informatics ◽

10.4258/jksmi.2007.13.2.123 ◽

2007 ◽

Vol 13 (2) ◽

pp. 123 ◽

Cited By ~ 1

Author(s):

Jae Ho Lee ◽

Eun Sook Kim ◽

Sang Wook Lee ◽

Soon Ai Kim ◽

Sung Woo Min ◽

...

Keyword(s):

Emergency Room ◽

Diagnostic Test ◽

Recording System ◽

Test Information

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Managing uncertainty for sustainability of complex projects

International Journal of Managing Projects in Business ◽

10.1108/ijmpb-06-2016-0055 ◽

2017 ◽

Vol 10 (2) ◽

pp. 315-329 ◽

Cited By ~ 8

Author(s):

Tove Brink

Keyword(s):

Project Management ◽

Wind Farms ◽

Uncertainty Management ◽

Offshore Wind ◽

Offshore Wind Farms ◽

Content Type ◽

Individual Interviews ◽

Complex Projects ◽

Complex Project ◽

Management Of Uncertainty

Purpose The purpose of this paper is to reveal how management of uncertainty can enable sustainability of complex projects. Design/methodology/approach The research was conducted from June 2014 to May 2015 using a qualitative deductive approach among operation and maintenance actors in offshore wind farms. The research contains a focus group interview with 11 companies, 20 individual interviews and a seminar presenting preliminary findings with 60 participants. Findings The findings reveal the need for management of uncertainty through two different paths. First, project management needs to frontload important issues, which results in the need to use resources much earlier than noted in the usual stage gate approach. Additionally, the base organisation needs the capacity to both explore and exploit important issues. In the summarisation of findings, a tool is developed for the two paths to join efforts. Research limitations/implications Further research is needed to reveal the generalisability of the findings in other complex project contexts containing “unknown unknowns”. Practical implications The research leads to the development of a tool for uncertainty management for sustainability of complex projects, which is termed “UMSCoPS”. The model provides a guide for insight and understanding of uncertainty management. Originality/value The previous knowledge on managing uncertainty for sustainability of complex projects is enhanced regarding the uncertainty management in complex projects. The approach to uncertainty has returned to the original notion of the “unknown unknowns”, and project management thereby leaves the widely used stage gate approach. The developed tool provides a fresh understanding of the challenges of uncertainty.

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Secondary care consultant clinicians’ experiences of conducting emergency care and treatment planning conversations in England: an interview-based analysis

BMJ Open ◽

10.1136/bmjopen-2019-031633 ◽

2020 ◽

Vol 10 (1) ◽

pp. e031633 ◽

Cited By ~ 1

Author(s):

Karin Eli ◽

Cynthia Ochieng ◽

Claire Hawkes ◽

Gavin D Perkins ◽

Keith Couper ◽

...

Keyword(s):

Emergency Care ◽

Secondary Care ◽

Emotional Reactions ◽

Ward Round ◽

Structured Interviews ◽

Short Term ◽

Illness Trajectory ◽

Care And Treatment ◽

Treatment Escalation ◽

Management Of Uncertainty

ObjectiveTo examine secondary care consultant clinicians’ experiences of conducting conversations about treatment escalation with patients and their relatives, using the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) process.DesignSemi-structured interviews following ward round observations.SettingTwo National Health Service hospitals in England.ParticipantsFifteen medical and surgical consultants from 10 specialties, observed in 14 wards.AnalysisInterview transcripts were analysed using thematic analysis.ResultsThree themes were developed: (1) determining when and with whom to conduct a ReSPECT conversation; (2) framing the ReSPECT conversation to manage emotions and relationships and (3) reaching ReSPECT decisions. The results showed that when timing ReSPECT conversations, consultant clinicians rely on their predictions of a patient’s short-term prognosis; when framing ReSPECT conversations, consultant clinicians seek to minimise distress and maximise rapport and when involving a patient or a patient’s relatives in decision-making discussions, consultant clinicians are guided by their level of certainty about the patient’s illness trajectory.ConclusionsThe management of uncertainty about prognoses and about patients’ emotional reactions is central to secondary care consultant clinicians’ experiences of timing and conducting ReSPECT conversations.

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