Understanding pre-hospital blood transfusion decision-making for injured patients: an interview study.
Author
Marsden, Max E RKellett, Suzie
Bagga, Rahul
Wohlgemut, Jared M
Lyon, Richard L
Perkins, Zane B
Gillies, Katie
Tai, Nigel Rm
Publication date
2023-09-13
Metadata
Show full item recordAbstract
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.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.Type
ArticleAdditional Links
https://emj.bmj.com/content/early/2023/09/13/emermed-2023-213086PMID
37704359Journal
Emergency Medicine JournalPublisher
BMJ Publishing Groupae974a485f413a2113503eed53cd6c53
10.1136/emermed-2023-213086