Is the Modified Early Warning Score able to enhance clinical observation to detect deteriorating patients earlier in an Accident &amp; Emergency Department?

So, Shuk-Ngor; Ong, Chi-Wai; Wong, Li Chin; Chung, Josephine Y.M.; Graham, Colin A.

doi:10.1016/j.aenj.2014.12.001

Cited by 24 publications

(35 citation statements)

References 26 publications

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“…a tool, rule or standardized testing) found them to improve diagnostic accuracy and reduce uncertainty. However, an almost similarly large percentage found no difference (37,43,56,57) or a decline in performance (58)(59)(60)(61).…”

Section: Effects Of Aidsmentioning

confidence: 92%

Conceptualizations of Clinical Decision-Making: A scoping review in geriatric emergency medicine

Gamborg

Mehlsen

Paltved

et al. 2020

Preprint

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Background Clinical decision-making (CDM) is an important competency for young doctors especially under complex and uncertain conditions in geriatric emergency medicine (GEM). However, research in this field is characterized by a vague conceptualization of CDM. To evolve and evaluate evidence-based knowledge of CDM, it is important to identify different definitions and their operationalisations in studies on GEM. Objective A scoping review of empirical articles was conducted to provide an overview of the documented evidence of findings and conceptualizations of CDM in GEM. Methods A detailed search for empirical studies focusing on CDM in a GEM setting was conducted in PubMed, ProQuest, Scopus, EMBASE and Web of Science. In total, 52 publications were included in the analysis, utilizing a data extraction sheet, following the PRISMA guidelines. Reported outcomes were summarized. Results Four themes of operationalization of CDM emerged: CDM as dispositional decisions, CDM as cognition, CDM as a model, and CDM as clinical judgement. Study results and conclusions naturally differed according to how CDM was conceptualized. Thus, frailty-heuristics lead to biases in treatment of geriatric patients and the complexity of this patient group was seen as a challenge for young physicians engaging in CDM. Conclusions This scoping review summarizes how different studies in GEM use the term CDM. It provides an analysis of findings in GEM and call for more stringent definitions of CDM in future research, so that it might lead to better clinical practice.

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Section: Effects Of Aidsmentioning

confidence: 92%

Conceptualizations of Clinical Decision-Making: A scoping review in geriatric emergency medicine

Gamborg

Mehlsen

Paltved

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

Section: Effects Of Aidsmentioning

confidence: 98%

“…The common term clinical judgement referred to "…the normal practice by [clinicians] using individual's [clinical] knowledge, clinical expertise and gut feeling…" (p27) (43). Here, CDM was most often assessed through the clinician's estimated probability of a certain clinical outcome or a nal diagnosis.…”

Section: Theme 4: Cdm As Clinical Judgement (N = 22)mentioning

confidence: 99%

Conceptualizations of Clinical Decision-Making: A Scoping Review in Geriatric Emergency Medicine

Gamborg

Mehlsen

Paltved

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Clinical decision-making (CDM) is an important competency for young doctors, especially under complex and uncertain conditions, which is present in geriatric emergency medicine (GEM). Research in this field is however characterized by an unclear conceptualization of CDM. To evolve and evaluate evidence-based knowledge of CDM, it is thus important to identify different definitions and their operationalisations in studies on GEM.Objective: A scoping review of empirical articles was designed to provide an overview of the documented evidence of findings and conceptualizations of CDM in GEM.Methods: A detailed search for empirical studies focusing on CDM in a GEM setting was conducted in PubMed, ProQuest, Scopus, EMBASE and Web of Science. In total, 52 publications were included in the analysis, utilizing a data extraction sheet, following the PRISMA guidelines. Reported outcomes were summarized.Results: Four themes of operationalization of CDM emerged; CDM as dispositional decisions, CDM as cognition, CDM as a model, and CDM as clinical judgement. Study results and conclusions differed according to how CDM was conceptualized. It was evident how especially frailty- heuristics lead to biases in treatment of geriatric patients, and that the complexity of this patient group was seen as a challenge for CDM.Conclusions: This scoping review summarizes how different studies in GEM use the term CDM. It provides a snapshot of findings in GEM. Potentially, findings from CDM research can guide implementation of adequate CDM strategies in clinical practice but this requires application of more stringent definitions of CDM in future research.

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“…The common term clinical judgement referred to " … the normal practice by [clinicians] using individual's [clinical] knowledge, clinical expertise and gut feeling …" (p27) [42]. Here, CDM was most often assessed through the clinician's estimated probability of a certain clinical outcome or a final diagnosis.…”

Section: Theme 4: Cdm As Clinical Judgement (N = 22)mentioning

confidence: 99%

Conceptualizations of clinical decision-making: a scoping review in geriatric emergency medicine

et al. 2020

View full text Add to dashboard Cite

Background Clinical decision-making (CDM) is an important competency for young doctors especially under complex and uncertain conditions in geriatric emergency medicine (GEM). However, research in this field is characterized by vague conceptualizations of CDM. To evolve and evaluate evidence-based knowledge of CDM, it is important to identify different definitions and their operationalizations in studies on GEM. Objective A scoping review of empirical articles was conducted to provide an overview of the documented evidence of findings and conceptualizations of CDM in GEM. Methods A detailed search for empirical studies focusing on CDM in a GEM setting was conducted in PubMed, ProQuest, Scopus, EMBASE and Web of Science. In total, 52 publications were included in the analysis, utilizing a data extraction sheet, following the PRISMA guidelines. Reported outcomes were summarized. Results Four themes of operationalization of CDM emerged: CDM as dispositional decisions, CDM as cognition, CDM as a model, and CDM as clinical judgement. Study results and conclusions naturally differed according to how CDM was conceptualized. Thus, frailty-heuristics lead to biases in treatment of geriatric patients and the complexity of this patient group was seen as a challenge for young physicians engaging in CDM. Conclusions This scoping review summarizes how different studies in GEM use the term CDM. It provides an analysis of findings in GEM and call for more stringent definitions of CDM in future research, so that it might lead to better clinical practice.

show abstract

Is the Modified Early Warning Score able to enhance clinical observation to detect deteriorating patients earlier in an Accident & Emergency Department?

Cited by 24 publications

References 26 publications

Conceptualizations of Clinical Decision-Making: A scoping review in geriatric emergency medicine

Conceptualizations of Clinical Decision-Making: A scoping review in geriatric emergency medicine

Conceptualizations of Clinical Decision-Making: A Scoping Review in Geriatric Emergency Medicine

Conceptualizations of clinical decision-making: a scoping review in geriatric emergency medicine

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