Definitions
Context in which decisions are made. The complexity of patient care needs, staffing expertise, budget allotted to care for patients, union contracts, reimbursement regulations, and leadership styles all affect the decisions that are made. affect also quality of patient care
Decision-making environment
steps of the problem solving
define, gather, determine overall goal, develop solutions, consider consequences, make the decision, and implement & evaluate
Basic problem-solving process
communication technique that helps members of the health team communicate effectively so that appropriate decisions can be made
SBAR
Involves forming, refining, and evaluating hypotheses based upon recognizing and analyzing cues
Clinical Judgement
DECIDE: Decision making model
define the problem
establish criteria
consider alternate choices
identify the best choice
develop & implement an action
evaluate decision through monitoring, trouble shooting and feedback
Careful defined trials used to try out a solution alternative on a small or restricted basis to reduce risks and to see whether major problems will occur.
Pilot projects
The decision making process that is grounded in the professional thought process
Clinical reasoning
Empowerment and autonomous decision-making at the point of care
Shared governance
Involves clinical judgment that results in interventions at the point of patient care
clinical decision making
Education of managers on specific interventions at the organization level on results of research
Evidenced-Informed Decision-making
involves decisions for groups of patients at the unit, organizational, or health system levels
Managerial and organizational decision-making