On a recent Wednesday, the students slouched, gossiped and browsed Facebook, and Marks lectured on Herbert Simon's theory of bounded rationality, how one's decision-making rationale is limited by circumstances — how much information is perceived — and one's own mind.
Rationale awareness is one's awareness of the other group members' decision-making rationale of the shared tasks.
No significant associations occurred between decision-making rationale and adverse events.
Examples of evidence-based decision-making rationale included clinical decision rules such as the Canadian CT Head Rule and the Pneumonia Patient Outcomes Research Team (PORT) pneumonia score.
There was no statistically significant association between decision-making rationale (clinical judgment or evidence based) and the occurrence of adverse events (p=0.37) or flagged outcomes (p=0.82).
Each health record can also be annotated with meta-information by the case designer, such as insight into the thought processes and the decision-making rationale of the physician who originally worked with the patient.
Annotations can be defined as physician notes that have been added to electronic health records for the purpose of providing some insight for the student into the physician's decision-making rationale.
The purpose of this study is to identify the factors that contribute to physicians' decisions to discharge a prospective cohort of patients from geographic high-acuity areas of the ED, and whether decision-making rationale impacts on the occurrence of adverse events.
OSHA would not comment on the decision-making rationale behind its final PEL of 5 μg/m beyond referring to the listing in the 28 February 2006 Federal Register, which states, "The PEL established by this rule reduces the significant risk posed to workers by occupational exposure to [hexavalent chromium] to the maximum extent that is technologically and economically feasible".
In a study of priority-setting decisions for new cancer drugs in Ontario, Canada Martin and colleagues reported that although clinical benefit was the primary factor in decision-making, rationales could change with changing costs and/or budgets [ 3].
GPs perceived the pilot intervention-raised awareness of targeted high-risk prescribing, improved prescribing practices and the recording of decision-making rationales, but they did not value each topic equally.
