Cookies?
Library Header Image
LSE Research Online LSE Library Services

Impossible decision? An investigation of risk trade-offs in the intensive care unit

Reader, Tom W. (2017) Impossible decision? An investigation of risk trade-offs in the intensive care unit. Ergonomics. pp. 1-12. ISSN 0014-0139 (In Press)

[img]
Preview
PDF - Accepted Version
Download (646kB) | Preview

Identification Number: 10.1080/00140139.2017.1301573

Abstract

In the intensive care unit (ICU), clinicians must often make risk trade-offs on patient care. For example, on deciding whether to discharge a patient before they have fully recovered in order to create a bed for another, sicker, patient. When misjudged, these decisions can negatively influence patient outcomes: yet it can be difficult, if not impossible, for clinicians to evaluate with certainty the safest course of action. Using a vignette-based interview methodology, a naturalistic decision-making approach was utilised to study this phenomena. The decision preferences of ICU clinicians (n=24) for two common risk trade-off scenarios were investigated. Qualitative analysis revealed the sample of clinicians to reach different, and sometimes oppositional, decision preferences. These practice variations emerged from differing analyses of risk, how decisions were ‘framed’ (e.g. philosophies on care), past experiences, and perceptions of group and organisational norms. Implications for patient safety and clinical decision-making are discussed.

Item Type: Article
Official URL: http://www.tandfonline.com/loi/terg20
Additional Information: © 2017 Informa UK Limited
Divisions: Psychological and Behavioural Science
Subjects: H Social Sciences > HV Social pathology. Social and public welfare. Criminology
R Medicine > R Medicine (General)
Sets: Departments > Psychological and Behavioural Science
Date Deposited: 28 Feb 2017 11:30
Last Modified: 20 Apr 2019 01:43
URI: http://eprints.lse.ac.uk/id/eprint/69579

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics