AI Article Synopsis
- Clinical decision-making (CDM) is crucial for physical therapists and directly impacts patient outcomes and experiences.
- The dual process theory explains how therapists make decisions, incorporating cognitive shortcuts known as heuristics, which can be influenced by various factors.
- The paper discusses common heuristics and their biases, such as anchoring and confirmation biases, while suggesting strategies to help therapists recognize and reduce these biases in their decision-making process.
Article Abstract
Clinical decision-making (CDM) plays an integral role in the work of a physical therapist and has ramifications for patient outcomes and experience. Rational decision-making - acting in a manner that helps us achieve our goals - is influenced by cognitive, emotional, and social variables. The dual process theory helps us understand how clinicians make what they perceive to be rational decisions. Within dual process is the use of cognitive decisional shortcuts, commonly referred to as 'heuristics,' which are either developed through experience or the use of fast and frugal trees (FFT). The use of heuristics in physical therapy practice has yet to be explored. This paper aims to describe this subset of physical therapy decision-making and to identify the typical cognitive biases - the error in heuristic-driven decision making - inherent in this style of reasoning. Common heuristics and their related biases are described and illustrated with vignettes, including the anchoring, availability, confirmatory, and representative heuristics. The authors conclude by proposing interventions to optimize physical therapists' awareness of their use of heuristics in clinical decision-making and to identify and minimize the influence of potential bias.
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| http://dx.doi.org/10.1016/j.msksp.2022.102674 | DOI Listing |
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