BACKGROUND We wanted to describe the natural history, familial transmission, microbiology, and accuracy of clinical judgment of potential pathogens of respiratory tract infections in a community family practice. METHODS The study was a prospective case series in which consecutive patients requesting treatment for respiratory tract infections were evaluated after nurse triage during 3 fall-spr...

ESP Some clinicians’ and organizations’ considerations of how a patient’s prior adherence to health recommendations should influence that candidacy for current intervention express structural racism carceral bias. When clinical judgment is influenced by logic

Critical thinking, clinical reasoning, clinical decision making and clinical judgment, are used interchangeably in nursing literature. This presents a problem for nurses educating students to develop their clinical judgement. This paper reports on an integrative review undertaken to uncover whether it is feasible to continue using these concepts interchangeably. Data collection involved a searc...

OBJECTIVES Clinical judgment is a central element of the medical profession, essential for the performance of the doctor, and potentially generating information also for other clinicians and for scientists and health care managers. The recently renewed interest in clinical judgement is primarily engaged with its role in communication, diagnosis and decision making. Beyond this issue, the presen...

Paramedic judgment and decision-making, not unlike much of ambulance practice, have not been the subject of systematic, sustained research. There exists a paucity of research or inquiry that examines the mechanics of human error in paramedic practice, ambulance or pre-hospital settings. Little is known of how paramedics make judgments and decisions, and how paramedics deal with risk and uncerta...

BACKGROUND New resident work-hour restrictions are expected to result in further increases in the number of handoffs between inpatient care providers, a known risk factor for poor outcomes. Strategies for improving the accuracy and efficiency of provider sign-outs are needed. OBJECTIVE To develop and test a judgment-based scale for conveying the risk of clinical deterioration. DESIGN Prospe...

In this case, a physician rejects a patient's concerns that tainted water is harming the patient and her community. Stereotypes and biases regarding socioeconomic class and race/ethnicity, constraining diagnostic frameworks, and fixed first impressions could skew the physician's judgment. This paper narratively illustrates how cultivating humility could help the physician truly hear the patient...