Clinical Decision Making

This work includes a foreword by Carl Thompson, Senior Research Fellow, Department of Health Sciences, University of York. This inspiring text offers guidance and innovative ideas for teaching and learning. It explains how nurses make clinical decisions through the development of narratives, and how, using narratives, nurses gain a far more intimate knowledge of the patient than doctors can. The book considers service delivery around patients, renegotiation of professional roles of medical staff and their boundaries of responsibility and authority. "Nurses' Clinical Decision Making" will appeal to all undergraduate and postgraduate students of nursing, registered nurses and nurse managers. Nurse educators, hospital managers, doctors and healthcare risk managers will also find the information contained here invaluable. 'If nurses are decision-makers how can their role and practice be explained? Can decision-making be taught and are there different levels of decision-making skill? If so, how can expert decision-makers be recognised? These are just some of the pertinent questions that need to be asked if we are to recognise and understand the centrality of clinical decision-making in nursing practice. Clinical work is complex and takes place in a complex environment that centres around individuals who themselves are physically, socially and spiritually complex. Clinical work also involves multiple participants (nurses, doctors, patients, physiotherapists, occupational therapists, pharmacists to name a few) who in the course of a days work can make scores of decisions.' - Russell Gurbutt, in the Preface.

With at least 40% new or updated content since the last edition, Clinical Decision Support, 2nd Edition explores the crucial new motivating factors poised to accelerate Clinical Decision Support (CDS) adoption. This book is mostly focused on the US perspective because of initiatives driving EHR adoption, the articulation of 'meaningful use', and new policy attention in process including the Office of the National Coordinator for Health Information Technology (ONC) and the Center for Medicare and Medicaid Services (CMS). A few chapters focus on the broader international perspective. Clinical Decision Support, 2nd Edition explores the technology, sources of knowledge, evolution of successful forms of CDS, and organizational and policy perspectives surrounding CDS. Exploring a roadmap for CDS, with all its efficacy benefits including reduced errors, improved quality, and cost savings, as well as the still substantial roadblocks needed to be overcome by policy-makers, clinicians, and clinical informatics experts, the field is poised anew on the brink of broad adoption. Clinical Decision Support, 2nd Edition provides an updated and pragmatic view of the methodological processes and implementation considerations. This book also considers advanced technologies and architectures, standards, and cooperative activities needed on a societal basis for truly large-scale adoption. At least 40% updated, and seven new chapters since the previous edition, with the new and revised content focused on new opportunities and challenges for clinical decision support at point of care, given changes in science, technology, regulatory policy, and healthcare finance Informs healthcare leaders and planners, health IT system developers, healthcare IT organization leaders and staff, clinical informatics professionals and researchers, and clinicians with an interest in the role of technology in shaping healthcare of the future

This open access book comprehensively covers the fundamentals of clinical data science, focusing on data collection, modelling and clinical applications. Topics covered in the first section on data collection include: data sources, data at scale (big data), data stewardship (FAIR data) and related privacy concerns. Aspects of predictive modelling using techniques such as classification, regression or clustering, and prediction model validation will be covered in the second section. The third section covers aspects of (mobile) clinical decision support systems, operational excellence and value-based healthcare. Fundamentals of Clinical Data Science is an essential resource for healthcare professionals and IT consultants intending to develop and refine their skills in personalized medicine, using solutions based on large datasets from electronic health records or telemonitoring programmes. The book’s promise is “no math, no code”and will explain the topics in a style that is optimized for a healthcare audience.

Designated a Doody's Core Title! "This is a valuable resourceÖto help prepare advanced practice nurses with the skills necessary to navigate the healthcare arena. The editors and contributors are experienced advanced practice nurses with valuable information to share with novice practitioners." Score: 100, 5 stars.óDoodyís Medical Reviews Now in its fourth edition, this highly acclaimed book remains the key title serving graduate-level advanced practice nurses (APNs) and recent graduates about to launch their careers. The book outlines what is required of the APN, with guidelines for professional practice for each of the four APN roles: the nurse practitioner, clinical nurse specialist, certified nurse midwife, and certified registered nurse anesthetist. Advanced Practice Nursing focuses not only on the care and management of patients, but also on how to meet the many challenges of the rapidly changing health care arena. Obtaining certification, navigating reimbursement, and translating research into practice are just a few of the challenges discussed. Key Features: Essential information on educational requirements and certification Advice on how to make the transition into professional practice Guidelines for ethical and clinical decision making Discussions on the DNP and CNL roles in AP nursing Updated and revised content on leadership development, regulation, informatics, health care organization, and health care policy

This essential text presents and explains every aspect of clinical decision making, providing a sound base of knowledge for confidence and accuracy. Its format incorporates principles of problem-based learning methods that are used in many nursing programs. The revised Second Edition contains 20 new case studies of the most common diseases and disorders encountered in family practice; each includes a review of all the information necessary for developing a plan of care and emphasizes differential diagnosis and clinical reasoning for the nurse practitioner. The text's problem-oriented format promotes and strengthens critical thinking skills. Additional features include: tutorials; holistic health considerations; case accuracy; laboratory tests that require learners to interpret tests and their impact on a patient's condition; interdisciplinary collaboration; decision trees that are applicable to each case; research-based outcomes; complementary therapies; and much more. A Brandon-Hill Recommended Title.

Professional Practice in Paramedic, Emergency and Urgent Care explores a range of contemporary relevant topics fundamental to professional practice. Written for both pre- and post-registration paramedic students, it is also ideal for existing practitioners looking to develop their CPD skills as well as nursing and other health professionals working in emergency and urgent care settings. Each chapter includes examples, practical exercises and clinical scenarios, helping the reader relate theory to practice and develop critical thinking skills Covers not only acute patient management but also a range of additional topics to provide a holistic approach to out-of-hospital care Completion of the material in the book can be used as evidence in professional portfolios as required by the Health and Care Professions Council Professional Practice in Paramedic, Emergency and Urgent Care is a comprehensive, theoretical underpinning to professional practice at all levels of paramedic and out-of-hospital care.

On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong—with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can—with our help—avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track. Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.

Clinical decision-making is an indispensable facet of professional nursing care. It is essential that students develop sound decision-making skills in order to deal with the challenges they will encounter as registered nurses. This book enables pre-registration nursing students to understand, develop and apply these skills in order to practise safely and effectively. The structure of the book helps the student progress in effective decision-making right from the first to final year of their programme. The book links theory to previous students’ experiences and clinical scenarios to show how to use these skills in practice. Transforming Nursing Practice is a series tailor made for pre-registration student nurses. Each book in the series is: Affordable Mapped to the NMC Standards and Essential Skills Clusters Focused on applying theory to practice Full of active learning features