DECISION MAKINGTerri BrayHCS/514

Kerubo Kinaro

Making decisions Stressful Need accurate information Using the right tools

Informed Decision Toolbox Framing the management question Finding sources of information Assessing the accuracy of the information

Assessing the applicability of the information

Assessing the actionability of the evidence

Determining if the information is adequate

Framing the management question

What is the decision and what do I really need to know to make a well-informed decision?

Asking the right question Start with what is known

Finding sources of information

Colleagues Consultants Internet

Websites Bibliographic databases

Assessing the accuracy of the information

How much of this information is accurate?

Is the information valid and reliable?

Is the information comprehensive? Am I missing important perspectives or aspects of my decision?

Assessing the applicability of the information

Is this information adequate for creating an actual plan?

Which recommendations can I implement? Which findings can I convert into concrete steps for implementation?

Which information provides guidelines about the possible effects of my decision?

What are the expected effects of my decision?

What are the possible unintended effects of my decision?

Assessing the actionability of information

Is there information on a complete set of relevant implications, including costs, user perceptions, and impact on revenue?

Is there a discussion of implementation process?

Decision at hand Computerized system Cost IT assistance Compatibility Number of computers Back up computers

Decision Will implementing a computerized system increase nurse’s productivity?

Searched numerous sites and companies for different systems

Had a consultant firm come in to look at operations and make suggestions as to what system would work best

ReferencesNational Collaborating Centre for Methods and Tools (2010). Informed decisions toolbox: Tools for knowledge transfer and performance improvement. Hamilton, ON: McMaster University. (Updated 23 September, 2011). Retrieved from http://www.nccmt.ca/registry/view/eng/46.html.

Rundel, T. G., Martelli, P. F., Arroyo, L., McCurdy, R., Graetz, I., Neuwirth, E.B., Curtis, P.,Schmittdiel, J., Gibson,M., and Hsu, J., (2007) the informed decision toolbox: Tools for knowledge transfer performance. Journal of health care management, 52 (5), 325-342 (September/October issue)