Anticipating the need to prioritise panellists' time, we focused their discussion on the former criteria that we considered would require higher degrees of judgment.
Exercise of that authority demands a "very high degree of judgment and discretion, the abuse or misuse of which can have serious impact on individuals". Ibid.
"The inspection observations suggest the possibility that more attention needs to be devoted to supervision and review activities in connection with the audits of areas involving a high degree of judgment," as well as areas subject to management estimates.
The patient cohort is diverse and strict diagnostic criteria are absent, requiring a high degree of clinical judgment and collaboration between specialists when treating such patients.
In the smoking cessation review, in addition to difficulties with the study design inclusion criteria, application of the criterion to only include studies in which assessment of adverse events was the primary objective was problematic because it involved a high degree of subjective judgment.
Environmental information pointing to a higher degree of complexity also resulted in hypothesis-specific heuristics that led physicians to suspend judgment in a greater number of cases.
Higher degree of difficulty for sure.
If not successfully appealed, the judgment will require change to existing practices for accessing communications data (which I had already recommended should be subject in some categories of case to a higher degree of independent authorisation: see A Question of Trust, Recommendations 65, 67-71).
This point corroborates the limitations identified by Hayward & Hofer [ 8], i.e., that studies based on peer review are characterized by a high degree of subjectivity in the judgment of the reviewers.
This research suggests that studying technology-supported work routines that appear mundane, standardised, and automated, but which in reality are socially complex requiring a high degree of local tailoring and judgment from frontline staff, opens up a relatively unexplored agenda for research in patient safety.
