My belief is there are limits as to how much you can improve decision making by focusing on training individuals and the real gains are to be garnered by changing the systems they work in to encourage behaviors linked to optimal decision making.

David Hallbert david.hallbert at GMAIL.COM
Sun Jul 6 22:13:02 UTC 2014

You hit the nail on the head with your last sentence.  We use triage
couplers that guide phone representatives through symptom algorithms with
patients that then "couple" the information with the proper advice.
 Patients think they have been talking to the doctor on call because they
ask such astute questions, give such good (rote) advice and are empowered
to provided "canned" (or cookbook) solutions authorized by standing doctors
orders (they cannot work off protocol).  That's a system the requires
training to make sure reasonably intelligent laypeople can stick to
instructions on how to use an intelligent system

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