Decision making

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PDM 3.1.1

Apply the principles of clinical and diagnostic reasoning in clinical emergency medicine.

PDM 3.1.2

Apply a problem-solving approach to guide patient treatment.

PDM 3.1.3

Decide to initiate resuscitation when a patient is recognised as critically ill or deteriorating.

PDM 3.1.4

Demonstrate an understanding that decisions must be made in order to progress patient care.

PDM 3.1.5

Justify the decision to admit a patient with a simple presentation.

PDM 3.1.6

Justify the decision to admit a patient with a medium complexity non- critical presentation to a particular inpatient unit, based on a clear diagnosis.

PDM 3.1.7

Decide to commence an appropriate clinical treatment pathway matched to the patient presentation.

PDM 3.1.8

Make safe and timely decision for a simple patient presentation.

PDM 3.1.9

Justify the decision to discharge a patient with a simple presentation.

PDM 3.2.1

The role of analytical thinking versus pattern recognition thinking in clinical emergency medicine.

PDM 3.2.2

Apply the understanding of analytical thinking and pattern recognition to decision making.

PDM 3.2.3

Use basic sciences to explain patient findings and treatment.

PDM 3.2.4

Incorporate patient and family/whānau needs as part of shared decision-making.

PDM 3.2.5

Identify distinct moments in the patient journey where a decision must be made in order to progress patient care.

PDM 3.2.6

Identify potential gaps in decision making.

PDM 3.2.7

Justify the decision to admit a patient with a non-complex presentation to a critical care unit based on a clear diagnosis.

PDM 3.2.8

Justify the decision to discharge a patient with a medium complexity presentation with a clear plan.

PDM 3.3.1

Principles of decision-making styles, including type 1 and type 2 thinking.

PDM 3.3.2

Apply the cognitive steps in the clinical reasoning process and understanding of causes of decision-making errors to patient management in the emergency setting.

PDM 3.3.3

Incorporate input from colleagues to inform decisions.

PDM 3.3.4

Decide appropriately what treatment to commence when supplied with incomplete and uncertain information.

PDM 3.3.5

Make safe and timely decision for a complex or critical patient presentation.

PDM 3.3.6

Facilitate early decision making by others to expedite patient care.

PDM 3.3.7

Justify the decision to admit a patient with a high complexity presentation to a particular inpatient unit, based on expected clinical course.

PDM 3.3.8

Logically explain the disposition decisions made.

PDM 3.4.1

Conditions that promote optimal decision making in clinical emergency medicine.

PDM 3.4.2

Common types of bias that may affect decision making.

PDM 3.4.3

Apply clinical reasoning to justify a decision that is made.

PDM 3.4.4

Reflect on the clinical reasoning process to clarify why a decision is made and recognise decisions that lead to an error.

PDM 3.4.5

Explain the decision to limit assessment and treatment.

PDM 3.4.6

Decide to recruit specific additional staff and resources to initiate time-critical patient care.

PDM 3.4.7

Justify own decisions as they occur and made timely corrections.

PDM 3.4.8

Review the decisions of others to seek and address situations where either no decision or an incorrect decision has been made.

PDM 3.4.9

Incorporate input from peers to inform shared decision-making for a complex critical patient where there is no clear course of action.

PDM 3.4.10

Negotiate referral of a patient to multiple specialities.

PDM 3.4.11

Justify the decision to discharge a patient with a complex presentation after a prolonged period of observation.

PDM 3.4.12

Justify the decision to transfer a patient to another health care facility.

PDM 3.4.13

Specify the resources that will be required to address ongoing post- disposition needs, including allied health and psychosocial support.