Decision-making in the front line: The role of choice architecture in NHS paramedic judgements over patient conveyance

Andrew Weyman, Rachel O'Hara

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This chapter articulates contemporary insights into non-clinical considerations that impact on paramedic decision making over patient treatment and (non-)conveyance to hospital emergency departments. After introducing the concept and role of choice architecture, it moves on to provide a flavour of tensions surrounding extrinsic influences on decision making over care destinations for patients, in the context of rising demand for services, scarcity of resources and professional and institutional worries over blame and accountability.
Original languageEnglish
Title of host publicationCritical perspectives on the management and organization of emergency services
EditorsParesh Wankhade, Leo McCann, Peter Murphy
Place of PublicationLondon
PublisherRoutledge
Chapter12
Pages200-216
Number of pages17
Edition1
ISBN (Print)978-1-138-09765-0, 978-1-315-10444-7
Publication statusPublished - 29 May 2019

Publication series

NameRoutledge Critical Studies in Public Management
PublisherRoutledge

Keywords

  • Ambulance
  • Decision-making
  • Patient
  • Safety

Cite this

Weyman, A., & O'Hara, R. (2019). Decision-making in the front line: The role of choice architecture in NHS paramedic judgements over patient conveyance. In P. Wankhade, L. McCann, & P. Murphy (Eds.), Critical perspectives on the management and organization of emergency services (1 ed., pp. 200-216). (Routledge Critical Studies in Public Management). London: Routledge.

Decision-making in the front line: The role of choice architecture in NHS paramedic judgements over patient conveyance. / Weyman, Andrew; O'Hara, Rachel.

Critical perspectives on the management and organization of emergency services. ed. / Paresh Wankhade; Leo McCann; Peter Murphy. 1. ed. London : Routledge, 2019. p. 200-216 (Routledge Critical Studies in Public Management).

Research output: Chapter in Book/Report/Conference proceedingChapter

Weyman, A & O'Hara, R 2019, Decision-making in the front line: The role of choice architecture in NHS paramedic judgements over patient conveyance. in P Wankhade, L McCann & P Murphy (eds), Critical perspectives on the management and organization of emergency services. 1 edn, Routledge Critical Studies in Public Management, Routledge, London, pp. 200-216.
Weyman A, O'Hara R. Decision-making in the front line: The role of choice architecture in NHS paramedic judgements over patient conveyance. In Wankhade P, McCann L, Murphy P, editors, Critical perspectives on the management and organization of emergency services. 1 ed. London: Routledge. 2019. p. 200-216. (Routledge Critical Studies in Public Management).
Weyman, Andrew ; O'Hara, Rachel. / Decision-making in the front line: The role of choice architecture in NHS paramedic judgements over patient conveyance. Critical perspectives on the management and organization of emergency services. editor / Paresh Wankhade ; Leo McCann ; Peter Murphy. 1. ed. London : Routledge, 2019. pp. 200-216 (Routledge Critical Studies in Public Management).
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