Don't just do something, stand there! The value and art of deliberate clinical inertia
It can be difficult to avoid unnecessary investigations and treatments, which are a form of low-value care. Yet every intervention in medicine has potential harms, which may outweigh the potential benefits. Deliberate clinical inertia is the art of doing nothing as a positive response. This paper pr...
| Main Authors: | , , , |
|---|---|
| Format: | Journal Article |
| Published: |
Wiley-Blackwell Publishing Asia
2018
|
| Online Access: | http://hdl.handle.net/20.500.11937/67894 |
| _version_ | 1848761687542333440 |
|---|---|
| author | Keijzers, G. Cullen, L. Egerton-Warburton, Diana Fatovich, D. |
| author_facet | Keijzers, G. Cullen, L. Egerton-Warburton, Diana Fatovich, D. |
| author_sort | Keijzers, G. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | It can be difficult to avoid unnecessary investigations and treatments, which are a form of low-value care. Yet every intervention in medicine has potential harms, which may outweigh the potential benefits. Deliberate clinical inertia is the art of doing nothing as a positive response. This paper provides suggestions on how to incorporate deliberate clinical inertia into our daily clinical practice, and gives an overview of current initiatives such as ‘Choosing Wisely’ and the ‘Right Care Alliance’. The decision to ‘do nothing’ can be complex due to competing factors, and barriers to implementation are highlighted. Several strategies to promote deliberate clinical inertia are outlined, with an emphasis on shared decision-making. Preventing medical harm must become one of the pillars of modern health care and the art of not intervening, that is, deliberate clinical inertia, can be a novel patient-centred quality indicator to promote harm reduction. |
| first_indexed | 2025-11-14T10:35:38Z |
| format | Journal Article |
| id | curtin-20.500.11937-67894 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:35:38Z |
| publishDate | 2018 |
| publisher | Wiley-Blackwell Publishing Asia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-678942018-07-31T00:59:42Z Don't just do something, stand there! The value and art of deliberate clinical inertia Keijzers, G. Cullen, L. Egerton-Warburton, Diana Fatovich, D. It can be difficult to avoid unnecessary investigations and treatments, which are a form of low-value care. Yet every intervention in medicine has potential harms, which may outweigh the potential benefits. Deliberate clinical inertia is the art of doing nothing as a positive response. This paper provides suggestions on how to incorporate deliberate clinical inertia into our daily clinical practice, and gives an overview of current initiatives such as ‘Choosing Wisely’ and the ‘Right Care Alliance’. The decision to ‘do nothing’ can be complex due to competing factors, and barriers to implementation are highlighted. Several strategies to promote deliberate clinical inertia are outlined, with an emphasis on shared decision-making. Preventing medical harm must become one of the pillars of modern health care and the art of not intervening, that is, deliberate clinical inertia, can be a novel patient-centred quality indicator to promote harm reduction. 2018 Journal Article http://hdl.handle.net/20.500.11937/67894 10.1111/1742-6723.12922 Wiley-Blackwell Publishing Asia restricted |
| spellingShingle | Keijzers, G. Cullen, L. Egerton-Warburton, Diana Fatovich, D. Don't just do something, stand there! The value and art of deliberate clinical inertia |
| title | Don't just do something, stand there! The value and art of deliberate clinical inertia |
| title_full | Don't just do something, stand there! The value and art of deliberate clinical inertia |
| title_fullStr | Don't just do something, stand there! The value and art of deliberate clinical inertia |
| title_full_unstemmed | Don't just do something, stand there! The value and art of deliberate clinical inertia |
| title_short | Don't just do something, stand there! The value and art of deliberate clinical inertia |
| title_sort | don't just do something, stand there! the value and art of deliberate clinical inertia |
| url | http://hdl.handle.net/20.500.11937/67894 |