Decision making clinical

The stepwise approach is intended to assist, not replace, the clinical decision making required to meet individual patient needs. 

Staging of malignant melanoma is important to determine prognosis, categorize patients with regard to metastatic potential and survival probability, and aid in clinical decision making. 

Soumerai SB, Avorn J. Principles of educational outreach ( academic detailing ) to improve clinical decision making. JAMA 1990 263 549-56. 

The aims of this chapter are to (1) describe a contemporary approach to assessment for pharmacotherapy (2) describe clinical principles of pediatric psychopharmacology (3) describe clinical decision making in pediatric psychopharmacology and (4) describe current approaches to the medical monitoring of children treated with psychotropic medications. 

This chapter considers (a) different types of individual and group treatment programmes, (b) assessment and clinical decision-making,... 

Healthcare professional sheet Concise summary of an important, and often emerging, drug safety issue, with background information about the detection of the issue and points to consider for clinical decision making Healthcare professionals... 

Schmidtke DW, Pishko MV, Quinn CP, Heller A. Statistics for critical clinical decision making based on readings of pairs of implanted sensors. Analytical Chemistry 1996, 68, 2845-2849. 

If our patient is older than, younger than, sicker than, healthier than, ethnically different from, taller, shorter, simply different from the subjects of a study, do the results pertain ...No degree of evidence will fully chart the expanse of idiosyncrasy in human health and disease. Thus, to work skillfully with evidence is to acknowledge its limits. All of the art and all of the science of medicine depends on how artfully and scientifically we as practitioners reach our decisions. The art of clinical decision making is judgment, an even more difficult concept to grapple with than evidence (pp. xi, xvii). 

The identification and development of tumor biomarkers have challenged the research for over 150 years. Although there have been some successes, a biomarker that is useful in the early diagnosis of disease in otherwise asymptomatic individuals has proved to be an elusive goal. The majority of the existing tumor markers are most useful in educating a clinical decision-making process after an initial suspicion has been raised by more conventional means [3],... 

Narrow impact analysis of the prediction rule used as a decision rule (I.e. prospective demonstration in one setting that the use of the prediction rule Improves clinical decision making)... 

---