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.
|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|
|Number of pages||17|
|ISBN (Print)||978-1-138-09765-0, 978-1-315-10444-7|
|Publication status||Published - 29 May 2019|
|Name||Routledge Critical Studies in Public Management|
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.