Korean J Med.
2022 Apr;97(2):99-107. 10.3904/kjm.2022.97.2.99.
Critical Decision Making at the Point of Care
- Affiliations
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- 1Division of Cardiology, Department of Internal Medicine, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon, Korea
- 2Department of Hospital Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea
- KMID: 2528351
- DOI: http://doi.org/10.3904/kjm.2022.97.2.99
Abstract
- Optimal decision-making requires an understanding of the principles of evidence-based medicine to judge the quality of the evidence. Numerous pitfalls exist in diagnostic reasoning and decision-making. There are also many considerations with regard to evidence-based prescription. Increasingly, hospitalists have to work in wards organized as Accountable Care Units (ACUs). Practice guidelines and systematic reviews represent the highest quality of evidence available. There is great clinical importance in rapid access to precise answers, especially those based on summary literatures, to various challenging questions. In practice, a culture of education, updates to support hospitalists, and integration of evidence-based medicine into clinical practice, using diverse digital medical resources and cloud storage, are necessary.
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