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

Andrew Weyman; Rachel O'Hara

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

Research output: Chapter or section in a book/report/conference proceeding › Chapter or section

2 Citations (SciVal)

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 language	English
Title of host publication	Critical perspectives on the management and organization of emergency services
Editors	Paresh Wankhade, Leo McCann, Peter Murphy
Place of Publication	London
Publisher	Routledge
Chapter	12
Pages	200-216
Number of pages	17
Edition	1
ISBN (Print)	978-1-138-09765-0, 978-1-315-10444-7
Publication status	Published - 29 May 2019

Publication series

Name	Routledge Critical Studies in Public Management
Publisher	Routledge

Keywords

Ambulance
Decision-making
Patient
Safety

Access to Document

http://Critical perspectives on the management and organization of emergency services

Extending Working Lives in the NHS: Opportunities, Challenges and Prospects
Weyman, A.
Medical Research Council
12/03/14 → 31/08/18
Project: Research council
Uncertain Futures: Managing Late Career Transitions and Extended Working Life
Weyman, A. & Wainwright, D.
Economic and Social Research Council
1/02/14 → 20/03/17
Project: Research council
Decision Making and Safety in Emergency Care Transitions
Weyman, A.
National Institute for Health Research
1/10/11 → 31/10/13
Project: Central government, health and local authorities

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). Routledge. http://Critical perspectives on the management and organization of emergency services

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 or section in a book/report/conference proceeding › Chapter or section

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. <http://Critical perspectives on the management and organization of emergency services>

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). Epub 2019 May 16.

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).

@inbook{c610fe7bb8e24dc4ae0e8b803593e995,

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

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. ",

keywords = "Ambulance, Decision-making, Patient, Safety",

author = "Andrew Weyman and Rachel O'Hara",

year = "2019",

month = may,

day = "29",

language = "English",

isbn = "978-1-138-09765-0",

series = "Routledge Critical Studies in Public Management",

publisher = "Routledge",

pages = "200--216",

editor = "Paresh Wankhade and Leo McCann and Peter Murphy",

booktitle = "Critical perspectives on the management and organization of emergency services",

address = "UK United Kingdom",

edition = "1",

}

TY - CHAP

T1 - Decision-making in the front line: The role of choice architecture in NHS paramedic judgements over patient conveyance

AU - Weyman, Andrew

AU - O'Hara, Rachel

PY - 2019/5/29

Y1 - 2019/5/29

N2 - 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.

AB - 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.

KW - Ambulance

KW - Decision-making

KW - Patient

KW - Safety

M3 - Chapter or section

SN - 978-1-138-09765-0

SN - 978-1-315-10444-7

T3 - Routledge Critical Studies in Public Management

SP - 200

EP - 216

BT - Critical perspectives on the management and organization of emergency services

A2 - Wankhade, Paresh

A2 - McCann, Leo

A2 - Murphy, Peter

PB - Routledge

CY - London

ER -

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

Abstract

Publication series

Keywords

Access to Document

Fingerprint

Projects

Extending Working Lives in the NHS: Opportunities, Challenges and Prospects

Uncertain Futures: Managing Late Career Transitions and Extended Working Life

Decision Making and Safety in Emergency Care Transitions

Cite this