Deliberate clinical inertia: Using meta-cognition to improve decision-making

Gerben Keijzers, Daniel M. Fatovich, Diana Egerton-Warburton, Louise Cullen, Ian A. Scott, Paul Glasziou, Pat Croskerry

Research output: Contribution to journalComment / DebateOtherpeer-review

8 Citations (Scopus)

Abstract

Deliberate clinical inertia is the art of doing nothing as a positive response. To be able to apply this concept, individual clinicians need to specifically focus on their clinical decision-making. The skill of solving problems and making optimal clinical decisions requires more attention in medical training and should play a more prominent part of the medical curriculum. This paper provides suggestions on how this may be achieved. Strategies to mitigate common biases are outlined, with an emphasis on reversing a ‘more is better’ culture towards more temperate, critical thinking. To incorporate such an approach in medical curricula and in clinical practice, institutional endorsement and support is required.

Original languageEnglish
Pages (from-to)585-590
Number of pages6
JournalEmergency Medicine Australasia
Volume30
Issue number4
DOIs
Publication statusPublished - 1 Jan 2018

Keywords

  • Clinical decision-making
  • Cultural change
  • Human factors
  • Over-diagnosis

Cite this

Keijzers, G., Fatovich, D. M., Egerton-Warburton, D., Cullen, L., Scott, I. A., Glasziou, P., & Croskerry, P. (2018). Deliberate clinical inertia: Using meta-cognition to improve decision-making. Emergency Medicine Australasia, 30(4), 585-590. https://doi.org/10.1111/1742-6723.13126