Is canonical thinking inhibiting the flexibility and innovation required for expert clinical reasoning?
The idea of clinical pathways was developed in 1985,1 with the intention of improving patient care and use of health resources. Since then, use of clinical pathways has proliferated, dominating clinical decision making in Australia and abroad. Important features of clinical pathways include a practical focus on the patient journey and a patient-centred multidisciplinary team approach. Clinical pathways are ideally based on best available evidence and expert opinion and should lead to a high degree of consistency for safe and sound decision making for common or serious clinical scenarios. Positive impacts of clinical pathways have been documented, including cost savings from minimising non-indicated investigations or treatments, and improved clinical outcomes and reduced adverse events.2
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