ADVANCED PAEDIATRIC DECISION MAKING

Advanced Paediatric Decision Making



Table of Contents

Advanced Pediatric Decision Making3

Introduction3

Theory of Decision Making4

Evidence-Based Decision Making4

Decision Analysis5

Algorithm6

Pediatrics7

Role of Pediatrician7

The different types of pediatric practice:9

Pediatric hospital:9

Pediatrics liberal10

Pediatrics in maternity10

The PMI, medical school10

The pediatric specialist institutions, CAMSP and SESSAD10

Threats on the pediatrics:11

Clinical decision making process11

Stages of decision analysis are:11

Defining the Question12

Structure the problem12

Probabilities effect13

Assigning the utilities14

Calculating Expected Utility14

Sensitivity Analysis and Determination15

Critical Analysis of Literature15

Case Study16

Methods17

Results17

Conclusion19

Advanced Pediatric Decision Making

Introduction

Every day, doctors have to make dozens of decisions: prescribe a review start or stop treatment, change, or to admit a patient to the hospital. The Most decisions are made easily, usually automatically, when the diagnosis clearly, the choice of treatment and risks effectively zero. However, in many other cases, the right decision is not obvious example, particularly when the diagnosis is uncertain, when the investigation or treatment are at risk, where the effectiveness of available treatments is unclear, or when the range of choices involves significant trade-offs between objectives contradictory. In such cases, the opinions of clinicians are often divergent, even among those who consulted as an expert on what to do. In this context, the analysis of decision may provide further insight Weiss, 2003, pp. 25.

This chapter examines some of the seminal studies in neuroeconomics, highlighting the public policy implications and offering areas of future research where neuroeconomics could be applied. The decisions that we make in everyday life have primary consequences for us. We go without breakfast because we are behind schedule in leaving the house. However, at times the primary consequences of making a good or poor decision will fall on others—a family or a school system may have fewer funds to provide breakfast to children. Indeed, the more formal authority we accrue the more likely it is that our decisions will affect many other people. Deciding matters that will have good and bad consequences for other persons presents both the reward and challenge of leadership. The greater the consequence of a decision for others, the more likely we are to want additional guidance, beyond the flip of a coin and familiar sources of advice, to determine our choices in the face of uncertainty Resnik, 1987, pp. 121.

Theory of Decision Making

Evidence-Based Decision Making

Quantitative research is a means by which one can gain factual knowledge. Today, a number of such study design options are available to the researcher. However, when studying these quantifications, the researcher must still make a judgment on the interpretation of those statistical findings. To others, what may seem like conflicting, confusing, or ambiguous data requires thoughtful interpretation. Information for decision making is said to be almost never complete, and researchers always work with a certain level of uncertainty. The need for making and providing proper interpretation of the data findings requires that error-prone humans acknowledge how a decision is made (Katz, 1986, pp. 21).

In the clinical sciences, evidence-based decision making is defined as a type of informal decision-making process that combines a clinician's professional expertise coupled with the patient's concerns and evidence gathered from scientific literature ...