Part A
Clinical decision-making is a critical aspect in the provision of medical services to clients. It is important that the decisions that are made and implemented in a healthcare setting reflect the exact needs of the client (Saposnik, Redelmeier, Ruff, & Tobler, 2016). Similarly, the client needs to be viewed as a part of the society, an aspect that will enhance the effectiveness of the decisions that are made. I use up to three forms of evidence in my making of clinical decisions, which I implement in my provision of healthcare services. First, I use client-specific information to develop decisions in my practice. Client-specific information is a form of evidence that details the historical background of the client with the aim of customizing service delivery. I also use scholarly evidence given the practicalities that it involves, which enhances its reliability in making decision. The third form of evidence I use involve relying on current trends to come up with decisions that affect the client and society directly, but in a positive way.
Part B
Patient care policies, protocols and pathways have to be effective and reliable at all times. The practice and delivery of healthcare services relies heavily on the effectiveness of the policies, protocols and pathways that are developed and adopted in a medical facility (Damani et al., 2016). In the institution where I work, policies, protocols and pathways are developed on based on the adopted culture and on an on-demand basis. The polices that are developed rely on the set objectives and aims of the institution where I work. On the other hand, the protocols and pathways tend to be adjusted on an on-demand basis, with the aim of addressing the issues that arise from time to time. The policies are rarely adjusted but when such a demand arises, they reflect the new changes in the culture of the institution. The protocols and pathways reflect the chain of command used in addressing the various issues that arise in the delivery of healthcare services and products.
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References
Damani, Z., MacKean, G., Bohm, E., DeMone, B., Wright, B., & Noseworthy, T. et al. (2016). The use of a policy dialogue to facilitate evidence-informed policy development for improved access to care: the case of the Winnipeg Central Intake Service (WCIS). Health Research Policy And Systems , 14 (1), 1-13.
Saposnik, G., Redelmeier, D., Ruff, C., & Tobler, P. (2016). Cognitive biases associated with medical decisions: a systematic review. BMC Medical Informatics And Decision Making , 16 (1), 1-14.
