Decision Rules are Destroying Medicine

Controversial title… courtesy of Dr Justin Morgenstern.

In this podcast Justin tells me about the evidentiary basis for our modern obsession with clinical decision rules and tools. We discuss the reasons that these tools may seem like a great idea, the reality of practice and how we may be able to do better in the future.

So if you have ever used a decision tool in the ED – Wells, Ottawa, PECARN, San Francisco, HEART…. or any other acronym you need to stop and have a listen to understand what these tools do, and do not achieve.

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