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Thanks for listening. This audio was captured at the Royal College of Emergency Medicine conference in Manchester 2015.

This talk hopes to explore how we make decisions in the ED, why it’s often difficult in a time poor, information light setting and gives some strategies for how we might analyse and improve our performance.

You can find the slides here [slideshare id=55574469&doc=makinggooddecisionsrcem2015manchesterwednesday-151127110451-lva1-app6891].

There is a more expansive blog post at the St.Emlyn’s website here.

Major learning points.
1. It’s difficult to judge your own decisions without information and we often lack this

2. Looking at outcomes is good but not enough. Judgement is about process not outcome. Nobody wants the lucky doctor, they want the good doctor.

3. Normal practice is the best place to develop and train judgement. Make sure that you spend time looking at the generality of your practice and not at the extremes.