Decision Aids for Local Decision Making

Assessing Practitioners’ and Patients’ Needs Regarding Shared Decision-Making and Decision Aids

       Background: As part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of ‘decisional conflict’ of hand surgeons and patients with CTS. This study addresses the null hypothesis that there is no difference between surgeon and patient decisional conflict with respect to test and tr...

Domain-Independent Decision Aids for Managerial Decision Making

An examination of the literature on managerial decision making provides insights for improving the design of Declslon Support Systems. Frequently, these systems are designed using one dominant decision making model; some ignore them altogether. This paper incorporates conflicting decision making constructs into an overall framework for designing Decision Support System and discusses the evoluti...

Bilateral Schwartze Sign, Decision-Making for Surgery

Otosclerosis is an otic capsule disorder that leads to progressive conductive and/or sensorineural hearing loss due to stapes footplate fixation and cochlear bone involvement. The disorder is bilateral in 70% of patients and it usually starts between the third and fifth decade. One of its characteristic clinical findings is Schwartze sign which refers to a reddish discoloration over the promont...

Shared decision making, decision aids, and risk communication.

Using patient decision aids to promote evidence-based decision making.

Evidence-based medicine integrates clinical experience with patients’ values and the best available evidence. In the past, clinicians took responsibility not only for being well informed about the benefits and harms of medical options but also for judging their value in the best interests of the patients. More recently, a shared decision making approach has been advocated in which patients are ...