Embracing the certainty of uncertainty: Implications for health care and research

Perspectives in Biology and Medicine

Volumn 56, Issue 1, 2013, Pages 65-77

  Seely, Andrew J E ^a  

^a OTTAWA HOSPITAL RESEARCH INSTITUTE   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DOCTOR PATIENT RELATION; HEALTH CARE DELIVERY; RESEARCH; UNCERTAINTY;

DELIVERY OF HEALTH CARE; PHYSICIAN-PATIENT RELATIONS; RESEARCH; UNCERTAINTY;

EID: 84878731474     PISSN: 00315982     EISSN: None     Source Type: Journal    
DOI: 10.1353/pbm.2013.0009     Document Type: Article

References (30)

1. Anderson, R. A., and R. R. McDaniel, Jr. 2000. Managing health care organizations: Where professionalism meets complexity science. Health Care Manag Rev 25:83-92
2. Atkinson, P. 1984.Training for certainty. Soc Sci Med 19:949-56.
3. Begun, J.W., and A. A. Kaissi. 2004. Uncertainty in health care environments: Myth or reality? Health Care Manag Rev 29:31-39.
4. Begun, J.W., and A.A. Kaissi. 2005.The social construction of uncertainty in healthcare delivery. In Uncertainty and surprise in complex systems, ed. R. R. McDaniel and D. J. Driebe, 109-21. NewYork: Springer.
5. Beresford, E. B. 1991. Uncertainty and the shaping of medical decisions. Hastings Cent Rep 21:6-11.
6. Biehn, J. 1982. Managing uncertainty in family practice. CMAJ 126:915-17.
7. Braddock, C. H., 3rd, et al. 1999. Informed decision making in outpatient practice:Time to get back to basics. JAMA 282:2313-20.
8. Gerrity, M. S., R. F. DeVellis, and J.A. Earp. 1990. Physicians' reactions to uncertainty in patient care:A new measure and new insights. Med Care 28:724-36
9. Ghosh A. K. 2004. Understanding medical uncertainty:A primer for physicians. J Assoc Phys India 52:739-42.
10. Glouberman, S., and H. Mintzberg. 2001a. Managing the care of health and the cure of disease. Part I: Differentiation. Health Care Manag Rev 26:56-69; discussion 87-89
11. Glouberman, S., and H. Mintzberg. 2001b. Managing the care of health and the cure of disease. Part II: Integration. Health Care Manag Rev 26:70-84; discussion 87-89.
12. Gordon, G. H., S. K. Joos, and J. Byrne. 2000. Physician expressions of uncertainty during patient encounters. Patient Educ Couns 40:59-65.
13. Griffiths, F., and D. Byrne. 1998. General practice and the new science emerging from the theories of "chaos" and complexity. Br J Gen Pract 48:1697-99
14. Henry, M. S. 2006. Uncertainty, responsibility, and the evolution of the physician/patient relationship. J Med Ethics 32:321-23.
15. Hewson, M. G., et al. 1996. Strategies for managing uncertainty and complexity. J Gen Intern Med 11:481-85.
16. Johnson, C. G., et al. 1988. Does physician uncertainty affect patient satisfaction? J Gen Intern Med 3:144-49.
17. Katz, J. 1984.Why doctors don't disclose uncertainty. Hastings Cent Rep 14:35-44.
18. Lighthill, J. 1986. The recently recognized failure of predictability in Newtonian Mechanics. Proc R Soc A 407:35-48.
19. McDaniel, R.R.Jr and D.J. Driebe DJ.2001.Complexity science and health care management. Adv Health Care Manag 2:11-36.
20. McDaniel, R. R., Jr., M. E. Jordan, and B. F. Fleeman. 2003 Surprise, surprise, surprise! A complexity science view of the unexpected. Health Care Manag Rev 28:266-78
21. Montgomery, K. 2003. Barriers to reframing surprise as "opportunity" in health care:A commentary on McDaniel, et al. Health Care Manag Rev 28:284-88; discussion 289-90.
22. Ogden, J. et al. 2002. Doctors expressions of uncertainty and patient confidence. Patient Educ Couns 48:171-76.
23. Parascandola, M., J. Hawkins, and M. Danis. 2002. Patient autonomy and the challenge of clinical uncertainty. Kennedy Inst Ethics J 12:245-64.
24. Philip, J., and M. Gold. 2005. Uses and misuses of ambiguity: Misuses of ambiguity. Intern Med J 35:629-31.
25. Rivers, E., et al. 2001. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345:1368-77.
26. Rizzo, J.A. 1993. Physician uncertainty and the art of persuasion. Soc Sci Med 37:1451-59.
27. Seely, A. J., and N.V. Christou. 2000. Multiple organ dysfunction syndrome: Exploring the paradigm of complex nonlinear systems. Crit Care Med 28:2193-200
28. Tchervenkov, J. I., et al. 2001. Decreasing viral load pretransplant and passive immunoprophylaxis with hepatitis B immunoglobulin posttransplant prevents hepatitis B virus recurrence after liver transplantation: An 8-year single-center experience. Transplant Proc 33:1514-15.
29. Tonelli, M. R. 2006. Integrating evidence into clinical practice: An alternative to evidence-based approaches. J Eval Clin Pract 12:248-56.
30. Tubbs, E. P, J. A. Elrod, and D. R. Flum. 2006. Risk taking and tolerance of uncertainty: Implications for surgeons. J Surg Res 131:1-6.