Although informed consent (IC) documents must contain specific elements, inclusion of these elements may be insufficient to encourage high-quality decision making.
Since many deaths in Intensive Care Units (ICUs) are preceded by a decision to withhold or withdraw life support, high-quality decision making [ 5] and end-of-life care are essential, as these can improve patient and family outcomes, as well as increasing the retention rate of clinicians working there.
"Let's have consistent high-quality decision made right across Wales supporting economic renewal at this very difficult time".
I believe the risk would have been greater if we didn't meet the patients ourselves with VC (Psychiatrist 3) The use of VC was therefore regarded as a method to ensure high-quality decision making, which increased the confidence for all involved that the best decision was being made for each patient.
There is ample evidence that diversity, inclusion and transparency are directly correlated with high-quality decision making and ultimately business performance.
1 2 The aim is to facilitate high-quality decision making, which has been defined as 'the extent to which the implemented decision reflects the considered preferences of a well-informed patient', rather than influencing clinical outcomes.
Thus if a woman understands the pros and cons of each option, but highly values the outcomes associated with planned CS (for example avoiding the discomfort of ECV), by making that choice she has made a high quality decision as she is informed and has selected the option which best matches her own health goals.
An effective decision aid will enhance patients' decision making with information, values clarification, self-efficacy and communication skills tailored to the decision they face, resulting in a high quality decision.
Clinicians, consumers and researchers have recognized the "patient-centered" nature of these and other common preference-sensitive medical decisions and the importance of shared decision making to ensure high quality decisions [ 1- 3].
Gary Klein's research highlights the ability of experts to make high quality decisions in challenging environments, such as chess masters.
An alternative strategy is to leverage System 1 thinking by changing the decision environment to maximize the odds that people will make high quality decisions given known biases [ 26].
