Rational decision making in medicine: 'Personal decisions are the leading cause of death' (2) How to improve clinical decision-making

6 September, 2019

Good day Neil

In my opinion, decisions could be improved through the use of Multidisciplinary teams in hospital settings.

Multidisciplinary teams may look into current cases and also post audit handling of cases. This can even be done virtually.

Another area could be constant review of treatment guidelines to meet evolving trends. Evidence based reviews based on inputs from Multidisciplinary teams comprised of persons drawn from actual practice as opposed to policy makers may ensure better decisions are made in health settings.

lt would not be enough to have guidelines without constant training on these and Monitoring and evaluating their implementation.

Mentorship programs of primary health care workers are being implemented in various programs including HIV and TB management. ln my opinion, these contribute a lot in improved decision making. Mentorship could assist where it is not practical to have Multidisciplinary teams, eg, at rural health centres.

Regards,

Venus Mushininga

HIFA profile: Venus Mushininga is a pharmacist with the Ministry of Health and Childcare in Zimbabwe. She is a founder and President of the Zimbabwe Society of Oncology Pharmacy and the Zimbabewan delegate to the European Society of Oncology Pharmacy. Professional interests: Oncology, Dissemination of information through to Health Professionals and the public, Research. She is co-coordinator of the HIFA working group on information for Prescribers and Users of Medicines.

Email: vmushininga@gmail.com

http://www.hifa.org/projects/prescribers-and-users-medicines

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Email: vmushininga AT gmail.com