The ability to decide and choose wisely and rightly is often a matter of how the problem was posed. Though we try to be as logical as possible in taking a decision, sometimes we end up making illogical choices. So, it is important to understand how people decide things to avoid bad judgments. The sad truth is that people, even at the highest level, simply do not like to make good choices as every decision involves a certain amount of risk.
Dr Graham Shortland, Medical director and Consultant Paediatrician, Cardiff and Vale University Health Board Summary This essay provides an initial reflection to engage physicians and patients in conversations about preventing harm, ending unnecessary tests, and evaluating treatments and procedures.
There are many tools to help physicians and patients make effective choices, using evidence, to ensure high-quality care.
Each patient situation is unique and in each case physicians and patients should determine an appropriate treatment plan together. The practice of medicine The topic of medicine is large. It creates the challenge of which areas we need to concentrate and reflect on when thinking about how to put prudent principles into practice.
Its scope gives us an opportunity to draw on ideas from a wide range of initiatives and innovation. Medicine cuts across many of the themes in prudent healthcare, particularly prescribing, primary care, allied healthcare, diagnostics and surgery.
Medicine continues, in many ways, to be practiced in a very traditional way. A patient progresses through levels of service, relying on communication between the primary care physician, hospital physician, tertiary specialist to reach review in outpatients.
Imprudent healthcare The figures regarding imprudent healthcare are staggering. Many healthcare professionals are probably aware that an estimated 10 per cent of all healthcare interventions are associated with some form of harm.
How can we improve our health systems? By questioning everyday things and reviewing our practice, there are many ways in which we can reflect on the prudent healthcare principle of doing no harm.
The following example from Cardiff and Vale University Health Board comes from our questioning of the everyday and changing our practice to reduce the risk of harm. However, using a PVC carries an associated risk of infection.
PVCs can cause bloodstream infections by enabling microorganisms to gain direct access to the bloodstream. Even though the incidence of local or bloodstream infections associated with a PVC is low in relation to other invasive devices, complications result in considerable morbidity because of the frequency with which PVCs are used.
Phlebitis is the most frequent complication associated with peripheral intra venous IV infusions, occurring in up to 96 per cent of all patients. The most commonly isolated organisms from all types of intravenous cannulas are coagulase-negative staphylococci 35 per cent with staphylococcus aureus the second most common 25 per cent.
The longer a PVC is in place, the greater the risk of complication.
Inserting a PVC when it is not needed exposes a patient to unnecessary risk. Many infection control experts believe that healthcare associated bloodstream infection can be markedly reduced, if not completely eliminated.
The guide advises that to optimise care: PVCs should only be used if they are needed They should be removed as soon as possible All PVC procedures should be performed aseptically.
Carry out the minimum intervention Unnecessary tests Treatments and procedures do not always add value to care. They can take away from care by potentially exposing patients to harm, further testing, false positives and contribute to stress and avoidable costs for patients.
Unnecessary tests, treatments and procedures also put increased strain on the resources of our healthcare system. Repetitive inpatient blood testing occurs frequently and is associated with adverse consequences for the patient, including anaemia and pain.
A Canadian study showed significant reduction in haemoglobin as a direct result of phlebotomy. Given that anaemia in hospital patients is associated with increased length of stay, readmission rates and transfusion requirements, reducing unnecessary blood testing may improve patient outcomes.
Interventions aimed at reducing laboratory testing also result in significant cost savings.Ben Franklin was a fan of the pro and con chart and added his own twist by giving different weights to his various motives. What Is Psychology? Psychology is the study of people's behavior, performance, and mental operations.
It also refers to the application of the knowledge, which can be used to understand events, treat mental health issues, and improve education, employment, and relationships. Although some may regard art education as a luxury, simple creative activities are some of the building blocks of child development.
Learn more about the developmental benefits of art. Choices for Children Why and How to Let Students Decide.
By Alfie Kohn. The essence of the demand for freedom is the need of conditions which will enable an individual to make his own special contribution to a group interest, and to partake of its activities in such ways that social guidance shall be a matter of his own mental attitude, and not a mere authoritative dictation of his acts.
Decision-making is a very important part of everyone's lives. These are examples of very important decisions that are made every day. What is the importance of good decision making ill tell you making decisions has an effect on more than just you, a decision can affect you for the rest of your life, and intuition decision making can cause 3/5(5).
Introduction. Leadership is a quality hidden in the personality of a human being. Human personality is very complex and it is very difficult to grade individuals according to one’s personality.