It would seem imperative to draw not only from nursing heuristics, but to continue asking for evidence with an open mind that the algorithms of today may be different from the ones deemed most effective tomorrow. Medicine and health contain many subjective parameters and one must consider the practice of medicine and experience of health is much like a living art form. One needs develop awareness of the patient’s bias, anchors, and intuitions. No different from the health care provider, both bring bias elements into the equation.
There are many judgments made based on intuitive input just as Dr. Kahneman mentioned regarding the nurse who told her father that he was going to the emergency department immediately. There he was identified with cardiac demise and she later realized that it was the color change in his face that prompted her to bring him to the emergency department. There is a time for intuitive decisions. There are also times when slower controlled reasoning and careful statistical analysis will produce a better outcome and with tools available via technological support systems, this process has rapidly improved.
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