The document discusses the importance of patient involvement in medical decision making and describes how shared decision making, where doctors and patients make decisions together using the best available evidence, can help ensure that no medical decisions are made without the patient. It cites research showing that while shared decision making has gained acceptance, it has yet to be fully adopted in practice, and barriers such as lack of time and skills need to be addressed for its successful implementation.

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Aranaz JM, Agra Y. La cultura de seguridad del paciente: del pasado al futuro en cuatro tiempos
Med Clin (Barc). 2010;135(Supl 1):1-2

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Pronovost P, Sexton B. Assessing safety culture: guidelines and recommendations.
Qual. Saf. Health Care 2005;14;231-233

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Trevena L, et al. A systematic review on communicating with patients about evidence.
Journal of Evaluation in Clinical Practice 2006; 12;1:13-23.

21. Gallagher TH, Studdert D, Levinson WW. Disclosing harmful medical errors to patients.
N Eng J Med 2007;356(26) 2713-2719

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MSPS, 2010

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29. Asua Batarrita J. Entre el consenso y la evidencia científica. Gac Sanit. 2005;19(1):65-70
http://scielo.isciii.es/pdf/gs/v19n1/evaluacion.pdf

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51. ‘No decision about me, without me’
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www.kingsfund.org.uk/publications/making-shared-decision-making-reality

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BMJ 2007;335:76
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Profesor y Jefe del Departamento de Medicina Interna, de la Universidad de Stanford entre 1926 y 1954.

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rodrigo.rgf1@gmail.com
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http://regimen-sanitatis.com