Practicing nurses must effectively identify and solve the problems of patient diagnosis and treatment by using such a model. Making the wrong clinical decision is not only harmful to patients but can also damage a nurse’s career. The conversation above assumes a patient with capacity to be involved in the decisions made. Outline a model for organizing an initial evaluation based on a functional outcomes approach. Diagnostic errors are responsible for a signifi cant number of adverse events. Of these different approaches to decision-making, prescriptive and descriptive approaches are the most common approaches used by practitioners (Cioffi & Markham 1997, Lurie 2012). ICU admission, withdrawal of life sustaining therapies) should be shared between at least two senior clinicians. Nursing opinion and decision-making are said to be the necessary constituent of specialized nursing practices and very complex. These resources are designed to help teams deliver this: The ReSPECT ( Recommended Summary Plan for Emergency Care and Treatment) process is an excellent example of a TEP (Treatment Escalation Plan), of which there are several examples in use nationally. This phenomenon can be explained by a failure in the reassessment process and priority reallocation necessary to reflect the patient’s changing physical condition. 2. Each of these categories has its own unique features, ideas and terminology. Garcia-Vidal C(1), Sanjuan G(2), Puerta-Alcalde P(3), Moreno-García E(3), Soriano A(3). Bassford C, Griffiths F, Svantesson M, Ryan M, Krucien N, Dale J, et al. Clinical teams may need to use telephone/electronic communication, recognising the conflicts with confidentiality. To map clinical decision-making processes, including the involvement of patients and families in decisions, identifying what leads to and triggers changes in management. Logical reasoning and good decision-making skills are key factors in reducing such errors, but little emphasis has traditionally been placed on how these thought processes occur, and how errors could be minimised. Opportunities should not be missed to gather information and make decisions when patients are able to participate in the process. The importance of these initial data cannot be overemphasized, as analysis of these data will form the pathophysiological basis from which the medical diagnosis is made. Many theories of teaching and learning the art of critical thinking and expert clinical decision-making exist; behaviourist, cognitive, and humanistic being the commonly used three (Sheehy & McCarthy 1998). This process should not, therefore, be underestimated. Developed as part of NHS Blood and Transplant’s Deceased Donation Course for ICM trainees, but applicable widely. According to Tanner (2006), decision making in the clinical arena is called clinical judgment. At the very least they ensure a structured approach to patient assessment and the regular and accurate recording of basic physiological observations, a crucial first step in recognizing patients at risk. We will be adding best practice examples and further resources as they are developed and become available. Increasingly, however, they are being cast in the role of active decision makers in healthcare by policy makers and other members of the healthcare team. Summaries and a full report of this project are  available from the National Institute for Health Research. Within this setting a patient’s first contact with a healthcare professional will usually be with a nurse; the process of initial assessment. The guidance is focussed on the following areas: Making decisions around escalation of treatment, Supporting good communication with patients and their families. The clinical severity affects the decision-making process, by attenuating the physi-cian’s tolerance for uncertainty. meta-analysis; clinical trials; systematic reviews; The articles by Helfenstein 1 and Newcombe 2 highlight the difficulties faced by clinicians in making a treatment decision for their patient when confronted by contradictory evidence. Learning about developing and applying effective clinical decision making skills is vital for the wellbeing of patients and nurses’ capacity to demonstrate that decisions are justified. Making difficult decisions is not a new problem, it is a daily experience for patients, families and doctors every day in the NHS. The chosen model will demonstrate clinical decision making skills in the care planning process. ReSPECT has been developed based on best evidence of how to support conversations and make sure that patients get the treatment that they want and would benefit from. While the contexts for treatment decision-making may be different, the following outline structure and resources below should help support both the clinician and patient in decision making: Ensure you have a shared understanding between the clinicians, patient, and those close to the patient of what the problems and issues are. While not exactly arbitrary, this exercise can be quite subjective. Decision-making can be divided into three categories: normative, descriptive and prescriptive approaches. It is recommended in the FICM end-of life guidance. This paper describes the potential origins of bias based on ‘dual process thinking’, discusses and illustrates a number of the important biases that occur in clinical practice, … Cheyne et al. Currently prevalent systems used to store and retrieve this information have high failure rates, which can be traced to well-established system constraints. Physiological monitoring and the identification of deterioration in patients’ conditions are an essential part of the role of the ED nurse; however, it remains uncertain whether this translates into the clinical setting. This chapter focuses on the importance of applying the key skills of critical thinking and clinical decision-making to everyday practice and the ways of facilitating nurses into the acquisition of these key skills. Experienced nurses bring a broad range of previous patient encounters to their practice influencing their intuitive, unconscious processes which facilitates decision‐making. Only the patient will suffer or enjoy the probabilistic outcomes associated with choosing one option over another. Harvey DJR, Gardiner D. `MORAL balance' decision-making in critical care. 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