'What the hell is water?' How to use deliberate clinical inertia in common emergency department situations
Author(s)
Egerton-Warburton, Diana
Cullen, Louise
Keijzers, Gerben
Fatovich, Daniel M
Year published
2018
Metadata
Show full item recordAbstract
Appropriate deliberate clinical inertia refers to the art of doing nothing as a positive clinical response. It includes shared decision‐making to improve patient care with the use of clinical judgement. We discuss common clinical scenarios where the use of deliberate clinical inertia can occur. The insertion of peripheral intravenous cannulae, investigating patients with suspected renal colic and the investigation of low risk chest pain are all opportunities for the thoughtful clinician to ‘stand there’ and use effective patient communication to avoid low value tests and procedures. Awareness is key to identifying these ...
View more >Appropriate deliberate clinical inertia refers to the art of doing nothing as a positive clinical response. It includes shared decision‐making to improve patient care with the use of clinical judgement. We discuss common clinical scenarios where the use of deliberate clinical inertia can occur. The insertion of peripheral intravenous cannulae, investigating patients with suspected renal colic and the investigation of low risk chest pain are all opportunities for the thoughtful clinician to ‘stand there’ and use effective patient communication to avoid low value tests and procedures. Awareness is key to identifying these opportunities to practice deliberate clinical inertia, as many of the situations may be so much a part of our environment that they are hidden in plain view.
View less >
View more >Appropriate deliberate clinical inertia refers to the art of doing nothing as a positive clinical response. It includes shared decision‐making to improve patient care with the use of clinical judgement. We discuss common clinical scenarios where the use of deliberate clinical inertia can occur. The insertion of peripheral intravenous cannulae, investigating patients with suspected renal colic and the investigation of low risk chest pain are all opportunities for the thoughtful clinician to ‘stand there’ and use effective patient communication to avoid low value tests and procedures. Awareness is key to identifying these opportunities to practice deliberate clinical inertia, as many of the situations may be so much a part of our environment that they are hidden in plain view.
View less >
Journal Title
Emergency Medicine Australasia
Volume
30
Issue
3
Subject
Clinical sciences
Science & Technology
Life Sciences & Biomedicine
Emergency Medicine
chest pain
low-value care