Understanding pre-hospital blood transfusion decision-making for injured patients: an interview study.
Abstract
Ten pre-hospital physicians were interviewed and three themes were identified: recognition-primed analysis, uncertainty and imperfect decision analysis. The first theme describes how participants make decisions using selected cues, incorporating their experience and are influenced by external rules and group expectations. What made decisions difficult for the participants was encapsulated in the uncertainty theme. Uncertainty emerged regarding the patient's true underlying physiological state and the treatment effect of blood transfusion. The last theme focuses on the issues with decision-making itself. Participants demonstrated lapses in decision awareness, often incomplete decision evaluation and described challenges to effective learning due to incomplete patient outcome information.
Citations
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Date
2023-09-13
Type
Article
Subject
Emergency medicine, Orthopaedics, Surgery
Collections
Citation
Marsden MER, Kellett S, Bagga R, Wohlgemut JM, Lyon RL, Perkins ZB, Gillies K, Tai NR. Understanding pre-hospital blood transfusion decision-making for injured patients: an interview study. Emerg Med J. 2023 Nov;40(11):777-784. doi: 10.1136/emermed-2023-213086. Epub 2023 Sep 13. PMID: 37704359; PMCID: PMC10646861.
Journal / Source Title
Emergency Medicine Journal
DOI
10.1136/emermed-2023-213086
PMID
37704359
Publisher
BMJ Publishing Group
Publisher’s URL
https://emj.bmj.com/content/early/2023/09/13/emermed-2023-213086