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Decision-making on the Fly: a Qualitative Study of Physicians in Out-of-hospital Emergency Medical Services by Ema Karmelić; Henrik Lindlöf; Jamie Linnea Luckhaus; Moa Malmqvist Castillo; Veronica Vicente; Karin Pukk Härenstam; Carl Savage is a Medicine article available to read on EtoBox.
What is Decision-making on the Fly: a Qualitative Study of Physicians in Out-of-hospital Emergency Medical Services about?
## Background Out-of-hospital Emergency Medical Services (OHEMS) require fast and accurate assessment of patients and efficient clinical judgment in the face of uncertainty and ambiguity. Guidelines and protocols can support staff in these situations, but there is significant variability in their use. Therefore, the aim of this study was to increase our understanding of physician decision-making in OHEMS, in particular, to characterize the types of decisions made and to explore potential facilitating and hindering factors. ## Methods Qualitative interview study of 21 physicians in a large, publicly-owned and operated OHEMS in Croatia. Data was subjected to an inductive content analysis. ## Results Physicians (mostly young, female, and early in their career), made three decisions (transport, treat, and if yes on either, how) after an initial patient assessment. Decisions were influenced by patient needs, but to a greater extent by factors related to themselves and patients (microsystem), their organization (mesosystem), and the larger health system (macrosystem). This generated a high variability in quality and outcomes. Participants desired support through further training, improve
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- Author
- Ema Karmelić; Henrik Lindlöf; Jamie Linnea Luckhaus; Moa Malmqvist Castillo; Veronica Vicente; Karin Pukk Härenstam; Carl Savage
- Publisher
- Springer Science and Business Media LLC
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)