Improving patient safety through informatics tools for shared decision making and risk communication

International Journal of Medical Informatics
C M Ruland

Abstract

This paper describes how informatics tools can support shared decision making and risk communication and thereby play an important role in enhancing patient safety. Using preference elicitation techniques and knowledge on risk communication, such tools can help patients understand their treatment options and associated short- and long-term benefits and risks, assist in the elicitation of patient preferences, and help patients and clinicians in making treatment choices with the highest likelihood of achieving desired patient outcomes. Important features of such tools are proposed, including: (1) Interactive tutorials to improve risk comprehension and prepare patients and clinicians for the decision making task; (2) choices between different presentation modes to meet patients' individual reading levels and presentation preferences; (3) risk calculations that account for individual risk profiles; (4) performance of necessary calculations to reach the actual decision; (5) automatic updates of evidence; and (6) the use of different preference-elicitation techniques.

References

May 1, 1991·Journal of General Internal Medicine·D J Mazur, D H Hickam
Jan 1, 1990·Medical Decision Making : an International Journal of the Society for Medical Decision Making·D J Mazur, D H Hickam
May 1, 1989·American Journal of Medical Genetics·S Shiloh, M Sagi
Oct 1, 1994·Medical Decision Making : an International Journal of the Society for Medical Decision Making·M K GoldsteinL A Lenert
Jun 30, 1994·The New England Journal of Medicine·J P Kassirer
Jul 7, 1993·JAMA : the Journal of the American Medical Association·D A RedelmeierD Kahneman
Jul 1, 1996·Medical Decision Making : an International Journal of the Society for Medical Decision Making·H A Llewellyn-ThomasC D Naylor
Jan 1, 1997·Journal of the American Medical Informatics Association : JAMIA·L A Lenert, R M Soetikno
Jun 1, 1997·Journal of the American Geriatrics Society·D J Mazur
Jul 29, 1998·Medical Decision Making : an International Journal of the Society for Medical Decision Making·A M O'ConnorT Mackenzie
Jul 31, 1999·Journal of the American Medical Informatics Association : JAMIA·C M Ruland
Sep 17, 1999·BMJ : British Medical Journal·A M O'ConnorJ Jones
Oct 16, 1999·Medical Decision Making : an International Journal of the Society for Medical Decision Making·D J MazurM D Mazur
Oct 16, 1999·Medical Decision Making : an International Journal of the Society for Medical Decision Making·A Edwards, G Elwyn
Jan 19, 2000·Medical Decision Making : an International Journal of the Society for Medical Decision Making·S MolenaarH C de Haes
Mar 17, 2001·BMJ : British Medical Journal·M Holmes-RovnerD R Rovner
Apr 3, 2001·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Margaret Holmes-RovnerSusan Keiser
Aug 25, 2001·Journal of General Internal Medicine·D H GustafsonA Salner
Sep 5, 2001·Quality in Health Care : QHC·A Edwards, G Elwyn
Sep 29, 2001·Medical Decision Making : an International Journal of the Society for Medical Decision Making·S WoloshinA N Tosteson
Apr 6, 2002·BMJ : British Medical Journal·Adrian EdwardsAl Mulley
Aug 20, 2003·Journal of the American Medical Informatics Association : JAMIA·Cornelia M RulandSamir M Khilani

❮ Previous
Next ❯

Citations

Feb 19, 2005·Health Communication·William Evans
Apr 29, 2008·International Journal of Medical Informatics·Wen-Yuan Jen, Chia-Cheng Chao
Jun 15, 2011·Nursing Philosophy : an International Journal for Healthcare Professionals·Louise DyjurAnnette Lane
Jul 11, 2012·Journal of Psychiatric and Mental Health Nursing·A KanervaT Kivinen
Jul 13, 2004·International Journal of Medical Informatics·Heimar F Marin
Jul 22, 2006·Oncology Nursing Forum·Cynthia CherneckyJennifer Walter
Sep 23, 2008·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Eta S Berner
Mar 28, 2020·MDM Policy & Practice·Adeboye A Adejare, Mark H Eckman
Jan 18, 2019·JCO Clinical Cancer Informatics·Anshu AnkolekarAdriana Berlanga
May 14, 2021·Proceedings of the ACM on Human-computer Interaction·Adrienne PichonNoémie Elhadad

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

BMJ : British Medical Journal
Peter CantillonDavid Sales
BMJ : British Medical Journal
Annette M O'ConnorDawn Stacey
Journal of General Internal Medicine
Annette MoxeyDavid Henry
© 2022 Meta ULC. All rights reserved