News and Notices

Outstanding Way - focus on clinical reasoning

Today, on our 12 things to celebrate as we countdown to Christmas 2017, we are highlighting the Outstanding Way focus on clinical reasoning.


What is clinical reasoning?
The terms clinical reasoning, clinical judgment, problem solving, decision making and critical thinking are often used interchangeably by clinicians. For us the term clinical reasoning is the process by which clinicians collect cues, process the information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process (Hoffman, 2007; Kraischsk & Anthony, 2001; Laurie et al., 2001). Clinical reasoning is not a linear process but can be conceptualised as a series or spiral of linked and ongoing clinical encounters.


Why is clinical reasoning important?
Clinicians with effective clinical reasoning skills have a positive impact on patient outcomes.


Outstanding Way has thought about clinical reasoning when reviewing SystmOne documentation.  We talked to DCHS Senior Matron, Michelle O'Connor, about the DCHS approach to clinical reasoning and you can watch this video to hear more about it .  Release date: July 2017



Who’s involved in the Outstanding Way?
This initiative is county-wide, starting in our community based teams, and is being led and supported by the following staff: Melissa Deighton – Programme Lead; Julie Wheeldon, Brenda Page and Jane Warder – Operational Leads and Jim Austin – Exec Sponsor.  There are also a number of other staff involved in leading/supporting specific work streams.

Want to get involved in Outstanding Way?
Please email if you’d like to get involved with any of the Outstanding Way projects or have a good idea that you would like to share with us. We are also interested to hear from staff who would like to become team outstanding way advocates. E: