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Does decision fatigue impact on surgical outcomes? - A scoping review

Ijaz, M. and Whiteway, S (2024) Does decision fatigue impact on surgical outcomes? - A scoping review. British Journal of Surgery, 111 (Supplement_6). ISSN 0007-1323

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Identification Number: 10.1093/bjs/znae163.440

Abstract

Aim Decision fatigue refers to the concept that the effort required to make repetitive decisions depletes our psychological resources and consequently leads to a fall in the quality and output of further decisions. In carrying out their jobs and often responding to emergency situations, the way surgeons perceive and make decisions plays a crucial role. It is therefore important to consider the effect decision fatigue may have on surgeons and their patients. The aim of this scoping review is to examine evidence from published studies on the impact decision fatigue has on clinical practice and patient outcomes. Method A computerised literature search was performed using two online databases: PubMed and Web of Science, Cochrane and Google Scholar. This yielded 9 studies that met the pre-determined criteria. Results Analysis of six studies indicate a consistent correlation between decision fatigue and its impact on healthcare professionals, while two studies present contrasting findings, asserting no significant influence. Notably, one study contributes evidence supporting both perspectives, adding complexity to the discourse. Conclusions Given the disparity in the evidence, we concluded that decision fatigue is not a generic phenomenon and that it manifests itself in different ways in individuals; with an individualised threshold to the number of high-quality and cognitively demanding decisions one can make before the consequent decisions are impacted. Therefore, more research that takes a qualitative approach is needed to understand the clinical impact of decision fatigue within surgical specialities in more detail.

Item Type: Article
Additional Information: © 2024 The Author(s)
Divisions: LSE
Subjects: R Medicine > RD Surgery
Date Deposited: 30 Sep 2024 13:13
Last Modified: 30 Sep 2024 13:13
URI: http://eprints.lse.ac.uk/id/eprint/125572

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