BMC Med Inform Decis Mak - Practice guidelines and clinical risk assessment models: is it time to reform?

Tópicos

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Resumo

CKGROUND: Clinical practice guidelines and Risk Assessment Models (RAMs) are some useful tools to bring medical evidences into our daily clinical practice. Despite the improvement over the time, they still have some shortcomings.DISCUSSION: One of these shortcomings is the arbitrary cutoffs used in these tools to facilitate the decision making process. This problem is to some extent due to the "Black or White" approach of modern medicine in making the decisions, whilst in the real world and our daily practice we used mostly an uncertain approach, which is called recently as "Fuzzy" thinking approach.SUMMARY: The authors of this article believe that the fuzzy type of thinking may resolve the above mentioned shortcomings of clinical practice guideline or risk assessment models and they tried to discuss about this using an example about Venous Thromboembolism related guidelines and RAMs.

Resumo Limpo

ckground clinic practic guidelin risk assess model ram use tool bring medic evid daili clinic practic despit improv time still shortcomingsdiscuss one shortcom arbitrari cutoff use tool facilit decis make process problem extent due black white approach modern medicin make decis whilst real world daili practic use most uncertain approach call recent fuzzi think approachsummari author articl believ fuzzi type think may resolv mention shortcom clinic practic guidelin risk assess model tri discuss use exampl venous thromboembol relat guidelin ram

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