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Choosing Wisely in clinical practice: Embracing critical thinking, striving for safer care

In recent years, the Choosing Wisely and Less is More campaigns have gained growing attention in the medical scientific community. Several projects have been launched to facilitate confrontation among patients and physicians, to achieve better and harmless patient‐centered care. Such initiatives hav...

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Autores principales: Furlan, Ludovico, Francesco, Pietro Di, Costantino, Giorgio, Montano, Nicola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314697/
https://www.ncbi.nlm.nih.gov/pubmed/35307902
http://dx.doi.org/10.1111/joim.13472
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author Furlan, Ludovico
Francesco, Pietro Di
Costantino, Giorgio
Montano, Nicola
author_facet Furlan, Ludovico
Francesco, Pietro Di
Costantino, Giorgio
Montano, Nicola
author_sort Furlan, Ludovico
collection PubMed
description In recent years, the Choosing Wisely and Less is More campaigns have gained growing attention in the medical scientific community. Several projects have been launched to facilitate confrontation among patients and physicians, to achieve better and harmless patient‐centered care. Such initiatives have paved the way to a new “way of thinking.” Embracing such a philosophy goes through a cognitive process that takes into account several issues. Medicine is a highly inaccurate science and physicians should deal with uncertainty. Evidence from the literature should not be accepted as it is but rather be translated into practice by medical practitioners who select treatment options for specific cases based on the best research, patient preferences, and individual patient characteristics. A wise choice requires active effort into minimizing the chance that potential biases may affect our clinical decisions. Potential harms and all consequences (both direct and indirect) of prescribing tests, procedures, or medications should be carefully evaluated, as well as patients’ needs and preferences. Through such a cognitive process, a patient management shift is needed, moving from being centered on establishing a diagnosis towards finding the best management strategy for the right patient at the right time. Finally, while “thinking wisely,” physicians should also “act wisely,” being among the leading actors in facing upcoming healthcare challenges related to environmental issues and social discrepancies.
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spelling pubmed-93146972022-07-30 Choosing Wisely in clinical practice: Embracing critical thinking, striving for safer care Furlan, Ludovico Francesco, Pietro Di Costantino, Giorgio Montano, Nicola J Intern Med Article In recent years, the Choosing Wisely and Less is More campaigns have gained growing attention in the medical scientific community. Several projects have been launched to facilitate confrontation among patients and physicians, to achieve better and harmless patient‐centered care. Such initiatives have paved the way to a new “way of thinking.” Embracing such a philosophy goes through a cognitive process that takes into account several issues. Medicine is a highly inaccurate science and physicians should deal with uncertainty. Evidence from the literature should not be accepted as it is but rather be translated into practice by medical practitioners who select treatment options for specific cases based on the best research, patient preferences, and individual patient characteristics. A wise choice requires active effort into minimizing the chance that potential biases may affect our clinical decisions. Potential harms and all consequences (both direct and indirect) of prescribing tests, procedures, or medications should be carefully evaluated, as well as patients’ needs and preferences. Through such a cognitive process, a patient management shift is needed, moving from being centered on establishing a diagnosis towards finding the best management strategy for the right patient at the right time. Finally, while “thinking wisely,” physicians should also “act wisely,” being among the leading actors in facing upcoming healthcare challenges related to environmental issues and social discrepancies. John Wiley and Sons Inc. 2022-03-20 2022-04 /pmc/articles/PMC9314697/ /pubmed/35307902 http://dx.doi.org/10.1111/joim.13472 Text en © 2022 The Authors. Journal of Internal Medicine published by John Wiley & Sons Ltd on behalf of Association for Publication of The Journal of Internal Medicine. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Article
Furlan, Ludovico
Francesco, Pietro Di
Costantino, Giorgio
Montano, Nicola
Choosing Wisely in clinical practice: Embracing critical thinking, striving for safer care
title Choosing Wisely in clinical practice: Embracing critical thinking, striving for safer care
title_full Choosing Wisely in clinical practice: Embracing critical thinking, striving for safer care
title_fullStr Choosing Wisely in clinical practice: Embracing critical thinking, striving for safer care
title_full_unstemmed Choosing Wisely in clinical practice: Embracing critical thinking, striving for safer care
title_short Choosing Wisely in clinical practice: Embracing critical thinking, striving for safer care
title_sort choosing wisely in clinical practice: embracing critical thinking, striving for safer care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314697/
https://www.ncbi.nlm.nih.gov/pubmed/35307902
http://dx.doi.org/10.1111/joim.13472
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