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Intern Med J. 2017 Sep;47(9):1079-1083. doi: 10.1111/imj.13536.

Cognitive challenges to minimising low value care.

Author information

1
Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Abstract

Clinical decisions often rely on pattern recognition, simple rules of thumb, tacit knowledge and habit. In many instances, such intuitive decisions are fast and accurate, but they can be subject to cognitive biases leading to delivery of care of low value at odds with scientific evidence of best practice. If programmes, such as EVOLVE (Evaluating Evidence, Enhancing Efficiencies) and Choosing Wisely are to have maximal impact in minimising low value care, such biases, and the factors that hide and accentuate them, need to be exposed and addressed in a collegiate and non-judgemental manner.

KEYWORDS:

cognitive bias; decision-making; low value care

PMID:
28891177
DOI:
10.1111/imj.13536
[Indexed for MEDLINE]

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