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  • Is a nudge all we need to promote deliberate clinical inertia and thoughtful clinical decision making?

    Author(s)
    Foster, Mieke
    Egerton-Warburton, Diana
    Cullen, Louise
    Fatovich, Daniel M
    Keijzers, Gerben
    Griffith University Author(s)
    Keijzers, Gerben
    Egerton-Warburton, Diana
    Year published
    2021
    Metadata
    Show full item record
    Abstract
    Deliberate clinical inertia is the art of doing nothing as a positive response. Individual clinicians can promote deliberate clinical inertia through teaching, re-framing the act of 'doing nothing' as 'doing something' and engaging in shared decision making. Behaviour change on a larger scale requires a systematic approach. Nudging is a subtle change to the decision-making context to prompt specific choices. A nudge unit is a team of relevant professionals who engage with various multidisciplinary teams within a health service who help test and implement nudge interventions in a clinical environment. A nudge unit could be ...
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    Deliberate clinical inertia is the art of doing nothing as a positive response. Individual clinicians can promote deliberate clinical inertia through teaching, re-framing the act of 'doing nothing' as 'doing something' and engaging in shared decision making. Behaviour change on a larger scale requires a systematic approach. Nudging is a subtle change to the decision-making context to prompt specific choices. A nudge unit is a team of relevant professionals who engage with various multidisciplinary teams within a health service who help test and implement nudge interventions in a clinical environment. A nudge unit could be used to design environments to prompt clinicians to re-think before ordering unnecessary tests or treatments. Nudge units could improve knowledge translation, support continuous quality improvement and help build a learning health system. They could also boost collaboration and empower staff to evaluate their workplace decision-making frameworks.
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    Journal Title
    Emergency Medicine Australasia
    DOI
    https://doi.org/10.1111/1742-6723.13782
    Note
    This publication has been entered as an advanced online version in Griffith Research Online.
    Subject
    Clinical sciences
    Health services and systems
    Public health
    clinical decision making
    clinical judgement
    critical thinking
    knowledge translation
    learning health system
    Publication URI
    http://hdl.handle.net/10072/404007
    Collection
    • Journal articles

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