The importance of the user voice in clinical decision making: a reflective account

Effective clinical decision making is crucial to patient safety. A tripartite case decision was analysed to find learning points to improve clinical decision making. The case decision was analysed using the dual process theory and the intuitive humanistic model. The place of individual thinkers was analysed and their use of ‘system 1’ and ‘system 2’ thinking was considered. The impact that the diversity of individuals and their skill levels had on the clinical decision was analysed. It was concluded that a team consisting of both system 1 and 2 thinkers, as well as individuals at different places on the novice to expert continuum, would be beneficial in creating a balanced choice. The importance of the patient voice in clinical decision making was highlighted.