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Problem Formulation, Identification and Decision Styles

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Please describe the decision making processes most prevalent in a hospital organization (specifically radiology department). Discuss the strengths and weaknesses found in each style. Consider the most favorable aspects of each style discussed to describe a process by which a problem can be identified and described.

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Through illustrative examples, this solution describes the decision making processes most prevalent in a hospital organization (specifically radiology department), including the strengths and weaknesses found in each style and the most favorable aspects of each style by which a problem can be identified and described.

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One way to identify the problem, diagnosis and treatment in the radiology department is the use of guidelines set forth by the American College of Radiology (ACR). For example, the major objective of the ACR Task Force on Appropriateness Criteria was to create the most credible patient care decision-making guidelines possible for physicians and their patients. The full complement of oncology-related criteria is available through the Internet (http://www.acr.org) and in print. ACD-ROM with these criteria also is available (see Table 2 at URL:http://caonline.amcancersoc.org/cgi/reprint/48/3/146.pdf).

For example:

"An American College of Radiology (ACR) Task Force on Appropriateness Criteria and its expert panels developed criteria for determining appropriate imaging examinations for diagnosis and treatment of specified medical condition(s). These criteria are intended to guide radiologists and referring physicians in making decisions regarding radiologic imaging and treatment. Generally, the complexity and severity of a patient's clinical condition should dictate the selection of appropriate imaging procedures or treatments. Only those examinations generally used for evaluation of the patient's condition are ranked. Other imaging studies necessary to evaluate other co-existent diseases or other medical consequences of this condition are not considered in ...

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