Download Medical Decision Making by Harold C. Sox PDF

By Harold C. Sox

This ebook basically demonstrates how to most sensible make scientific judgements whereas incorporating medical perform guidelines and choice help structures for digital scientific checklist platforms.

New to this version is how scientific determination making rules are being included into medical selection help platforms in digital clinical files and likewise how they're getting used to form perform guidance and policies.

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Extra info for Medical Decision Making

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Are cues independent? Is my experience large enough? 4 Factors that affect probability estimates derived from using the representativeness heuristic. comparison. Consider a patient with symptoms of cholecystitis. Our estimate of the probability of cholecystitis will depend on how closely the patient’s findings resemble the textbook description of cholecystitis (or patients from our own clinical experience with cholecystitis). Clinicians often use the representativeness heuristic and must be aware of several ways that it can lead to mistakes.

Of course, the clinician wins the lottery only in her imagination, but she should take the game seriously. Therefore, the prize should be truly desirable, such as a tuition rebate, the internship of one’s choice, or a three-month paid vacation! The following scenario depicts the steps in the indirect assessment of probability. Imagine that a clinician has seen a patient with high blood pressure and asks your help in estimating the probability that the patient has a mineralocorticoid-secreting adrenal adenoma.

In deciding to forgo diagnostic tests, she has concluded that the likelihood of finding a treatable cause of headache is extremely low. Moreover, the expense and Differential diagnosis 25 worry that diagnostic studies may engender appear to outweigh the remote possibility of a result that could benefit her. Conclusion: Even the simplest of clinician–patient interactions contain the elements of rational decision making. Using these principles does not necessarily increase the amount of time required to evaluate the patient, especially if the screening and branching strategy is used to exclude hypotheses.

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