We review the progress of naturalistic decision making in the decade since the first conference on the subject in 1989. After setting out a brief history of NDM we identify its essential characteristics and consider five of its main contributions: recognition-primed decisions, coping with uncertainty, team decision making, decision errors, and methodology. NDM helped identify important areas of inquiry previously neglected, it introduced new models, conceptualizations, and methods, and recruited applied investigators into the field. Above all, NDM contributed a new (...) perspective on how decisions are made. NDM still faces significant challenges, including improvement of the quantity and rigor of its empirical research, and confirming the validity of its prescriptive models. Copyright © 2001 John Wiley & Sons, Ltd. (shrink)

In this paper we set out to examine thearguments for and against the claim thatEvidence-Based Medicine (EBM) will improve thequality of care. In particular, we examine thefollowing issues.