The DOI matches its Crossref record.
Anatomy of a Decision
Abstract
THE QUALITY of medical care is determined by two main factors: the quality of the decisions that determine what actions are taken and the quality with which those actions are executed—what to do and how to do it. If the wrong actions are chosen, no matter how skillfully they are executed, the quality of care will suffer. Similarly, if the correct actions are chosen but the execution is flawed, the quality of care will suffer. The importance of ensuring the quality of execution is well understood. In contrast, the medical profession has done much less to develop and evaluate its decision-making processes. If decisions are considered the command post and actions are considered the troops in the field, we have spent much more energy training and equipping the troops than providing intelligence and decision support systems to the commanders. The place to begin is with the ingredients of a decision.
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Citations
Cited by
Charles, C., Gafni, A., & Whelan, T. (1997) · Social Science & Medicine · doi:10.1016/s0277-9536(96)00221-3 · Cited by 4,137
Montori, V. M., Gafni, A., & Charles, C. (2006) · Health Expectations · doi:10.1111/j.1369-7625.2006.00359.x · Cited by 399
Sivaraman, V., Bukowski, L. A., Levin, J., Kahn, J. M., & Perer, A. (2023) · Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems · doi:10.1145/3544548.3581075 · Cited by 141
Surgeon perception of risk and benefit in the decision to operate.
Sacks, G. D., Dawes, A. J., Ettner, S. L., Brook, R. H., Fox, C. R., Maggard-Gibbons, M., Ko, C. Y., & Russell, M. M. (2016) · Annals of Surgery · doi:10.1097/sla.0000000000001784 · Cited by 100
(1994) · PubMed · Cited by 69
Patient-centred care and patient autonomy: doctors’ views in Chinese hospitals
Liang, Z., Xu, M., Liu, G., Zhou, Y., & Howard, P. (2022) · BMC Medical Ethics · doi:10.1186/s12910-022-00777-w · Cited by 47
Health economics and outcomes research within drug development
van Nooten, F., Holmstrom, S., Green, J., Wiklund, I., Odeyemi, I. A. O., & Wilcox, T. K. (2012) · Drug Discovery Today · doi:10.1016/j.drudis.2012.01.021 · Cited by 40
Metadata
- Authors
- Eddy, D. M.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1990-01-19
- Volume
- 263
- Issue
- 3
- Pages
- 441
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2041052390
- Cited by
- 261
- References
- 0
- FWCI
- 10.79
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
