What should be documented when using a decision aid in a shared decision making scenario?

• A. The Chosen Path and Rationale; and Ensure Patient Values Are Reflected
• B. Only the Data Used
• C. No Documentation Is Needed
• D. The Clinician's Preferred Option

Answer: (A)

Documentation in shared decision making should capture the chosen path and the rationale behind it, with explicit reflection of the patient’s values. A decision aid helps patients understand options, benefits, harms, and uncertainties; recording the selected option and why the patient values led to it shows that the decision was patient-centered, supports informed consent, and provides a clear record for future care. Recording only the data used omits deliberation and values; no documentation loses accountability and consent evidence; stating the clinician’s preferred option undermines patient autonomy and SDM.