The medical decision-making process in the time of the coronavirus pandemic

Abstract

The disease pandemic caused by the novel coronavirus has triggered significant changes in the medical decision-making process relating to critically ill patients. Admissions to intensive care units have suddenly increased, but many of these patients do not present with clinical manifestations related to the viral infection but rather exacerbation of preexisting diseases. In this context, we must prevent intuitive decision-making and insecurity from leading us to exhaust the available critical-care beds before they are truly necessary, while still recognizing the importance of rapid decision-making in emergency situations. One of the best ways to achieve this goal may be by practicing metacognition and establishing ways for regular feedback to be provided to professionals engaged in inherently rapid decision-making processes.

Assistência nutricional durante a pandemia da COVID-19 em pacientes internados em unidades de terapia intensiva

“…Situações semelhantes foram relatadas em artigo publicado no início da pandemia sobre as mudanças significativas no processo de tomada de decisão médica diante do paciente grave devido à pandemia da COVID-19 e o uso da intuição dos médicos em momentos emergenciais. (Teixeira et al, 2020).…”

The Neuroscience of Learning, Problem-Solving and Decision Making

“…Tip-1 karar verme; ilişkisel, örtük, sezgisel, hızlı ve bilinçsiz olarak tanımlanırken; Tip-2 karar verme; kurala dayalı, açık, analitik, yavaş ve bilinçli olarak tanımlanmaktadır [23,24]. Tip-1 karar vermenin hızlı gerçekleşmesinin nedeni; insan beyninin, çeşitli değişkenler içeren durumları bilinçli olarak analiz etmekte güçlük çekmesidir [25]. Ayıca Tip-1 karar verme beynin ana operatörüyken Tip-2 karar verme ancak Tip-1 yanıt yetersiz olduğunda ortaya çıkmaktadır [26].…”

Understanding Health Care Administrators’ Data and Information Needs for Decision Making during the COVID-19 Pandemic: A Qualitative Study at an Academic Health System

“…Despite the important implications of these administrative decision-making processes, few articles have explored how health care administrators used data to understand the evolving pandemic and make operational decisions. When examining data utilization for COVID-19 decision making, prior research has been on clinical decision making in treating patients, either in general 24–28 or for specific conditions and populations. 29–32 Literature has also focused on strategies, concepts, and principles to assist with clinical decision making 33–39 and reflection for future clinical directions in treating COVID-19.…”