We study the decisions taken in five real cases by 178 doctors working in hospital emergency services and compare their decisions with those proposed a reference group composed of professionals with a master's degree in bioethics. The findings of our study point to an increased ability to take difficult decisions in critical situations involving the use of life-support measures in the emergency room. The group of professionals chosen as "gold standard", despite lacking the training and clinical preparation of emergency doctors, made decisions that were technically very close to the most suitable. In this respect, an adequate ethical training facilitated the taking of decisions that required the involvement of personally held values, underlining the need for such training in the case of professionals who will work in hospital emergency services.
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BMC Med Educ
January 2025
Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
Background: Doctors' unwillingness to share responsibility acts as a major barrier to interprofessional collaboration (IPC). Educating both doctors and allied health professionals in taking on or relinquishing responsibility could enhance IPC. Yet there is no evidence that these educational efforts increase IPC willingness.
View Article and Find Full Text PDFSci Rep
January 2025
School of Management, Hainan Medical University, Haikou, China.
Patients are turning to OHCs to deal with the stresses and complications of infertility. As a stigmatized disease, infertile patients may value informational support and emotional support differently, which is ignored in existing studies. Based on social support theory, this study aims to reveal the role of informational support and emotional support of doctors in infertile patient decision-making.
View Article and Find Full Text PDFBMJ Lead
January 2025
Psychological Sciences, Rice University, Houston, Texas, USA.
Background/aim: The physician-administrator dyads are a strategic method of collaboration in healthcare organisations. Dyad leaders are part of a multidisciplinary team that integrates their expertise to generate better patient, physician, and organisational outcomes. An assumption of team science is that diverse experts, while knowledgeable, struggle to work together to resolve problems because of their vastly different decision-making and implementation strategies.
View Article and Find Full Text PDFJ Appl Clin Med Phys
January 2025
Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Background: Accurate delineation of organs at risk (OARs) is crucial yet time-consuming in the radiotherapy treatment planning workflow. Modern artificial intelligence (AI) technologies had made automation of OAR contouring feasible. This report details a single institution's experience in evaluating two commercial auto-contouring software tools and making well-informed decisions about their clinical adoption.
View Article and Find Full Text PDFAm J Emerg Med
January 2025
Department of Pediatric Emergency, Ruth Children's Hospital, Rambam Health Care Campus, Haifa, Israel.
Objective: To evaluate triage nurses' clinical judgment in determining short acting β2-agonist bronchodilator therapy need for children with shortness of breath in the pediatric emergency department, without prior physician assessment.
Methods: This prospective study compared decision-making between triage nurses and physicians regarding bronchodilator inhalation therapy necessity. Trained nurses assessed children aged 2-18 with shortness of breath, including history-taking, vital signs, and lung auscultation.
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