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Journal articles on the topic 'Clinical decisions'

Author: Grafiati

Published: 4 June 2021

Last updated: 7 February 2022

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1

Kostbade Hughes, Katherine, and Wendy B. Young. "Decision Making Stability of Clinical Decisions." Nurse Educator 17, no. 3 (May 1992): 12–16. http://dx.doi.org/10.1097/00006223-199205000-00010.

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2

Tavakoli, Manouche, Huw TO Davies, and Richard Thomson. "Aiding clinical decisions with decision analysis." Hospital Medicine 60, no. 6 (June 1999): 444–47. http://dx.doi.org/10.12968/hosp.1999.60.6.1139.

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3

Metlay, Joshua P., and Katrina A. Armstrong. "Annals Clinical Decision Making: Incorporating Perspective Into Clinical Decisions." Annals of Internal Medicine 172, no. 11 (June 2, 2020): 743–46. http://dx.doi.org/10.7326/m19-3469.

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4

Drazen, Jeffrey M., Edward W. Campion, Gregory D. Curfman, Pamela W. Miller, Kent R. Anderson, and Stephen Morrissey. "Clinical Decisions." New England Journal of Medicine 356, no. 20 (May 17, 2007): 2093. http://dx.doi.org/10.1056/nejme078065.

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5

Lowenthal, David T., and Mary M. Conlin. "CLINICAL DECISIONS." Journal of the American Geriatrics Society 43, no. 11 (November 1995): 1303–8. http://dx.doi.org/10.1111/j.1532-5415.1995.tb07410.x.

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6

Keltch, Brain, Yuan Lin, and Coskun Bayrak. "Advanced decision support for complex clinical decisions." Journal of Biomedical Science and Engineering 03, no. 05 (2010): 509–16. http://dx.doi.org/10.4236/jbise.2010.35071.

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7

Metlay, Joshua P., and Katrina A. Armstrong. "Annals Clinical Decision Making: Weighing Evidence to Inform Clinical Decisions." Annals of Internal Medicine 172, no. 9 (May 5, 2020): 599–603. http://dx.doi.org/10.7326/m19-1941.

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8

Ramsey, Rory, and Kingman P. Strohl. "Decisions, decisions, decisions." Sleep and Breathing 9, no. 4 (November 12, 2005): 143–45. http://dx.doi.org/10.1007/s11325-005-0039-5.

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9

Pope, Kenneth S. "Improving Clinical Decisions." Contemporary Psychology: A Journal of Reviews 36, no. 9 (September 1991): 749–50. http://dx.doi.org/10.1037/030132.

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10

Kheterpal, Sachin. "Random Clinical Decisions." Anesthesiology 116, no. 1 (January 1, 2012): 3–5. http://dx.doi.org/10.1097/aln.0b013e31823d25de.

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11

Butcher, James. "Decisions, decisions." Lancet Neurology 6, no. 12 (December 2007): 1042. http://dx.doi.org/10.1016/s1474-4422(07)70284-3.

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12

Nathan, Karthik, Maechi Uzosike, Uriel Sanchez, Alexander Karius, Jacinta Leyden, Nicole Segovia, Sara Eppler, Katherine G. Hastings, Robin Kamal, and Steven Frick. "Deciding without data: clinical decision-making in pediatric orthopedic surgery." International Journal for Quality in Health Care 32, no. 10 (September 27, 2020): 658–62. http://dx.doi.org/10.1093/intqhc/mzaa119.

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Abstract Objective Identifying when and how often decisions are made based on high-quality evidence can inform the development of evidence-based treatment plans and care pathways, which have been shown to improve quality of care and patient safety. Evidence to guide decision-making, national guidelines and clinical pathways for many conditions in pediatric orthopedic surgery are limited. This study investigated decision-making rationale and quantified the evidence supporting decisions made by pediatric orthopedic surgeons in an outpatient clinic. Design/Setting/Participants/Intervention(s)/Main Outcome Measure(s) We recorded decisions made by eight pediatric orthopedic surgeons in an outpatient clinic and the surgeon’s reported rationale behind the decisions. Surgeons categorized the rationale for each decision as one or a combination of 12 possibilities (e.g. ‘Experience/anecdote,’ ‘First principles,’ ‘Trained to do it,’ ‘Arbitrary/instinct,’ ‘General study,’ ‘Specific study’). Results Out of 1150 total decisions, the most frequent decisions were follow-up scheduling, followed by bracing prescription/removal. The most common decision rationales were ‘First principles’ (n = 310, 27.0%) and ‘Experience/anecdote’ (n = 253, 22.0%). Only 17.8% of decisions were attributed to scientific studies, with 7.3% based on studies specific to the decision. As high as 34.6% of surgical intervention decisions were based on scientific studies, while only 10.4% of follow-up scheduling decisions were made with studies in mind. Decision category was significantly associated with a basis in scientific studies: surgical intervention and medication prescription decisions were more likely to be based on scientific studies than all other decisions. Conclusions With increasing emphasis on high value, evidence-based care, understanding the rationale behind physician decision-making can educate physicians, identify common decisions without supporting evidence and help create clinical care pathways in pediatric orthopedic surgery. Decisions based on evidence or consensus between surgeons can inform pathways and national guidelines that minimize unwarranted variation in care and waste. Decision support tools and aids could also be implemented to guide these decisions.

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13

Fenves, Andrew. "Uncertainty in Clinical Decisions." Annals of Internal Medicine 109, no. 4 (August 15, 1988): 347. http://dx.doi.org/10.7326/0003-4819-109-4-347_3.

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14

Bunch, Wilton H., and Avinash G. Patwardhan. "Scoliosis, Making Clinical Decisions." JPO Journal of Prosthetics and Orthotics 2, no. 2 (1990): 18. http://dx.doi.org/10.1097/00008526-199001000-00001.

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15

BEERS, LEE SAVIO. "Making Clinical Practice Decisions." Pediatric News 41, no. 9 (September 2007): 58. http://dx.doi.org/10.1016/s0031-398x(07)70622-7.

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16

Cockburn, J. J. "Clinical decisions about patients." Psychiatric Bulletin 13, no. 3 (March 1989): 130–34. http://dx.doi.org/10.1192/pb.13.3.130.

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The structure of mental illness services is changing rapidly. Large hospitals are closing or preparing to close and the service will be provided in other ways, partly by smaller units, partly by increased care in the community outside hospital and partly by amalgamations of two or more large hospitals. Smaller units allow closer working relationships with GPs, social workers and other professionals.

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17

Edmonson, Allen S. "Scoliosis. Making Clinical Decisions." Journal of Bone & Joint Surgery 72, no. 3 (March 1990): 478. http://dx.doi.org/10.2106/00004623-199072030-00036.

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18

Backstrom, David. "Decisions in clinical management." Medical Journal of Australia 158, no. 7 (April 1993): 508. http://dx.doi.org/10.5694/j.1326-5377.1993.tb137616.x.

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19

Little, J. M. "Decisions in clinical management." Medical Journal of Australia 158, no. 7 (April 1993): 508. http://dx.doi.org/10.5694/j.1326-5377.1993.tb137617.x.

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20

Giass, Reuben D. "Decisions in Clinical Management." Medical Journal of Australia 158, no. 8 (April 1993): 649. http://dx.doi.org/10.5694/j.1326-5377.1993.tb137655.x.

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21

Burke, Peter J. "Decisions in Clinical Management." Medical Journal of Australia 158, no. 8 (April 1993): 649–50. http://dx.doi.org/10.5694/j.1326-5377.1993.tb137656.x.

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22

Little, J. M. "Decisions in Clinical Management." Medical Journal of Australia 158, no. 8 (April 1993): 650. http://dx.doi.org/10.5694/j.1326-5377.1993.tb137657.x.

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23

Perkins, Todd W. "Clinical Decisions in Glaucoma." Archives of Ophthalmology 112, no. 12 (December 1, 1994): 1518. http://dx.doi.org/10.1001/archopht.1994.01090240024015.

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24

Strohl, Kingman P. "Methodology and Clinical Decisions." Sleep and Breathing 3, no. 3 (July 1999): 73–74. http://dx.doi.org/10.1007/s11325-999-0073-9.

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25

Self, Roland, Anna Rigby, Clive Leggett, and Roger Paxton. "Clinical Decision Support Tool: A rational needs-based approach to making clinical decisions." Journal of Mental Health 17, no. 1 (January 2008): 33–48. http://dx.doi.org/10.1080/09638230701505806.

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26

Williams, Judith. "Decisions made in clinical environment." Nursing Standard 11, no. 17 (January 15, 1997): 10. http://dx.doi.org/10.7748/ns.11.17.10.s20.

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27

Heath, Samantha. "Making decisions in clinical care." Paediatric Nursing 6, no. 9 (November 1994): 20–23. http://dx.doi.org/10.7748/paed.6.9.20.s24.

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28

Peterson-Falzone, Sally. "Speech Characteristics: Updating Clinical Decisions." Seminars in Speech and Language 7, no. 03 (August 1986): 269–95. http://dx.doi.org/10.1055/s-2008-1064285.

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29

Mills, Richard P. "Clinical Decisions in Neuro-Ophthalmology." American Journal of Ophthalmology 99, no. 6 (June 1985): 741–42. http://dx.doi.org/10.1016/s0002-9394(14)76072-6.

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30

Deyo, Richard A., Daniel C. Cherkin, James Weinstein, John Howe, Marcia Ciol, and Albert G. Mulley. "Involving Patients in Clinical Decisions." Medical Care 38, no. 9 (September 2000): 959–69. http://dx.doi.org/10.1097/00005650-200009000-00009.

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31

Bate, Louise, Andrew Hutchinson, Jonathan Underhill, and Neal Maskrey. "How clinical decisions are made." British Journal of Clinical Pharmacology 74, no. 4 (September 5, 2012): 614–20. http://dx.doi.org/10.1111/j.1365-2125.2012.04366.x.

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32

Oakley, Celia M. "Clinical Decisions in the Cardiomyopathies." Hospital Practice 20, no. 10 (October 15, 1985): 41–60. http://dx.doi.org/10.1080/21548331.1985.11703158.

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33

Ohno-Machado, Lucila. "Informatics support for clinical decisions." Journal of the American Medical Informatics Association 21, no. 3 (May 2014): 385. http://dx.doi.org/10.1136/amiajnl-2014-002815.

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34

Cowell, H. R. "Radiographic measurements and clinical decisions." Journal of Bone & Joint Surgery 72, no. 3 (March 1990): 319. http://dx.doi.org/10.2106/00004623-199072030-00001.

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35

Ellenberger, C. "Clinical Decisions in Neuro-ophthalmology." Neurology 36, no. 10 (October 1, 1986): 1412. http://dx.doi.org/10.1212/wnl.36.10.1412-b.

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36

Hedges, T. R. "Clinical Decisions in Neuro-Ophthalmology." Archives of Ophthalmology 103, no. 6 (June 1, 1985): 775–76. http://dx.doi.org/10.1001/archopht.1985.01050060035015.

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37

Levin, Leonard A. "Clinical Decisions in Neuro-Ophthalmology." Archives of Ophthalmology 112, no. 8 (August 1, 1994): 1029. http://dx.doi.org/10.1001/archopht.1994.01090200035016.

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38

Jonsen, Albert R. "Ethical Decisions in Clinical Medicine." Care Giver 6, no. 1 (December 1989): 1–6. http://dx.doi.org/10.1080/10778586.1989.10767561.

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39

Kader, Harvey A. "CLINICAL DECISIONS IN NEURO-OPHTHALMOLOGY." Optometry and Vision Science 72, no. 8 (August 1995): 601. http://dx.doi.org/10.1097/00006324-199508000-00013.

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40

Lantos, John D., and Farr A. Curlin. "Religion, conscience and clinical decisions." Acta Paediatrica 97, no. 3 (February 19, 2008): 265–66. http://dx.doi.org/10.1111/j.1651-2227.2008.00674.x.

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41

Hanna, Dwight C. "cal Decisions in Clinical Medicine." Plastic and Reconstructive Surgery 81, no. 2 (February 1988): 295. http://dx.doi.org/10.1097/00006534-198802000-00035.

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42

Page, Lesley, Jane Phillips, and James Drife. "Changing Childbirth: Changing clinical decisions." British Journal of Midwifery 5, no. 4 (April 1997): 203–6. http://dx.doi.org/10.12968/bjom.1997.5.4.203.

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43

Bader, James D., and Daniel A. Shugars. "Variation in Dentists' Clinical Decisions." Journal of Public Health Dentistry 55, no. 3 (June 1995): 181–88. http://dx.doi.org/10.1111/j.1752-7325.1995.tb02364.x.

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44

Chren, Mary-Margaret, and Sarah T. Arron. "Research that Guides Clinical Decisions." Journal of Investigative Dermatology 136, no. 8 (August 2016): 1535–37. http://dx.doi.org/10.1016/j.jid.2016.04.031.

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45

Stross, Jeoffrey K. "Information sources and clinical decisions." Journal of General Internal Medicine 2, no. 3 (May 1987): 155–59. http://dx.doi.org/10.1007/bf02596142.

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46

Bruyn, G. W. "Clinical decisions in neuro-ophthalmology." Journal of the Neurological Sciences 79, no. 1-2 (June 1987): 240. http://dx.doi.org/10.1016/0022-510x(87)90281-4.

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47

Behrens, Myles M. "Clinical decisions in neuro-ophthalmology." Survey of Ophthalmology 31, no. 2 (September 1986): 136–37. http://dx.doi.org/10.1016/0039-6257(86)90082-2.

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48

Caprioli, Joseph. "Clinical Decisions in Neuro-Ophthalmology." Ophthalmic Surgery, Lasers and Imaging Retina 16, no. 7 (July 1985): 450. http://dx.doi.org/10.3928/1542-8877-19850701-13.

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49

Wheeler, Robert. "Unfounded challenges to clinical decisions." Bulletin of the Royal College of Surgeons of England 103, no. 2 (March 2021): 110–11. http://dx.doi.org/10.1308/rcsbull.2021.46.

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50

Chan, Teresa M., Mathew Mercuri, Michelle Turcotte, Emily Gardiner, Jonathan Sherbino, and Kerstin de Wit. "Making Decisions in the Era of the Clinical Decision Rule: How Emergency Physicians Use Clinical Decision Rules." Academic Medicine 95, no. 8 (November 26, 2019): 1230–37. http://dx.doi.org/10.1097/acm.0000000000003098.

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