#6 Intuition in pharmacovigilance – Eugene van Puijenbroek
Drug Safety Matters
English - December 17, 2020 08:00 - 25 minutes - 17.6 MBMedicine Health & Fitness Science Life Sciences drug safety healthcare medicine medicines safety patient safety pharmacovigilance side effects Homepage Download Google Podcasts Overcast Castro Pocket Casts RSS feed
In the age of evidence-based medicine, we may be tempted to dismiss intuition – the quick and automatic thought process we call “sixth sense” or “gut feeling” – as unscientific guesswork. But in clinical decision-making, intuitive reasoning is just as important as the slower and more analytical causal reasoning that healthcare professionals are trained in. In fact, without it we would hardly be able to formulate new hypotheses.
Together with Eugene van Puijenbroek from the Netherlands pharmacovigilance centre Lareb, we explore the role of intuitive reasoning in the science of drug safety.
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A study on real cases of intuition in family medicine concluded that automatic, non-analytical processes in clinical judgment extend beyond first impressions.The dual-process theory highlights the importance of physicians’ intuition and the high level of interaction between analytical and non-analytical processes in clinical reasoning.Gut feelings may help general practitioners efficiently navigate the often complex and uncertain diagnostic situations of general practice.In a discussion paper on intuition and evidence, professor Trisha Greenhalgh suggests that the experienced practitioner should follow clinical hunches as well as applying the deductive principles of evidence-based medicine.If you’d like to hear more from the Netherlands pharmacovigilance centre Lareb, check out this interview with Linda Härmark on patient reporting.
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