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Strategies for Action:Ways to Achieve Good Decisions

With special contribution by Walter Eppich, MD, MEd

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Crisis Management in Acute Care Settings

Abstract

A pediatrician is confronted with an emergency in which the leading symptoms can be due to variety of causes. From clinical examination alone she gets no further clues about the etiology of the clinical deterioration. What makes this situation particularly challenging is the fact that some therapeutic actions (e.g., intubation, insertion of a chest tube) might actually worsen the patient’s condition. If her initial diagnosis proves wrong, the wrong intervention may do considerable harm to the young patient.

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References

  • Benner L (1975) D.E.C.I.D.E. in hazardous materials emergencies. Fire J 69:13–18

    Google Scholar 

  • De Neys W (2006) Dual processing in reasoning-two systems but one reasoner. Psychol Sci 17(5):423–433

    Article  Google Scholar 

  • Dörner D (1996) The logic of failure. Recognizing and avoiding error in complex situations. Metropolitan Books, New York

    Google Scholar 

  • Dörner D, Schaub H (1994) Errors in planning and decision-making and the nature of human information processing. Appl Psychol Int Rev 43:433–453

    Article  Google Scholar 

  • Dreyfus HL, Dreyfus SE (2000) Mind over machine: The power of human intuition and expertise in the era of the computer, 5th edn. Blackwell, Oxford

    Google Scholar 

  • Evans JSBT (2003) In two minds: dual-process accounts of reasoning. Trends Cogn Sci 7(10):454–459

    Article  PubMed  Google Scholar 

  • Evans JSBT (2008) Dual-processing accounts of reasoning, judgment and social cognition. Annu Rev Psychol 59:255–278

    Article  PubMed  Google Scholar 

  • Gaba D (1992) Dynamic decision-making in anesthesiology: cognitive models and training approaches. In: Evans DA, Patel VL (eds) Advanced models of cognition for medical training and practice. Springer, Berlin/Heidelberg/New York, pp 123–148

    Google Scholar 

  • Hoermann HJ (1995) FOR-DEC. A prescriptive model for aeronautical decision-making. In: Fuller R, Johnston N, McDonald N (eds) Human factors in aviation operations. Proceedings of the 21st conference of the European Association for Aviation psychology (EAAP), vol 3. Avebury Aviation, Aldershot, pp 17–23

    Google Scholar 

  • Jensen RS (1995) Pilot judgement and crew resource management. Ashgate Publishing, Burlington

    Google Scholar 

  • Kahnemann D (2003) Maps of bounded rationality: a perspective on intuitive judgment and choice. In: Frangsmyr T (ed) Les Prix Nobel: the Nobel Prizes 2002. Nobel Found, Stockholm, pp 449–489

    Google Scholar 

  • Klein G (1998) Sources of power: how people make decisions. The MIT Press, Cambridge

    Google Scholar 

  • Murray WB, Foster PA (2000) Crisis resource management among strangers: principles of organizing a multidisciplinary group for crisis resource management. J Clin Anesth 12:633–638

    Article  PubMed  CAS  Google Scholar 

  • Nisbett R, Peng K, Choi I, Norenzayan A (2001) Culture and systems of thought: holistic vs. analytic cognition. Psychol Rev 108:291–310

    Article  PubMed  CAS  Google Scholar 

  • Oesterreich R (1981) Handlungsregulation und Kontrolle [Action regulation and control]. Urban and Schwarzenberg, Munich

    Google Scholar 

  • Orasanu J, Connolly T (1992) The reinvention of decision-making. In: Klein G, Orasanu J, Calderwood R, Zsamboka E (eds) Decision-making in action: models and methods. Ablex, Norwood, pp 3–20

    Google Scholar 

  • Reason J (1990) Human error. Cambridge University Press, Cambridge

    Book  Google Scholar 

  • Reyna VF (2004) How people make decisions that involve risk: a dual-process approach. Curr Dir Psychol Sci 13(2):60–66

    Article  Google Scholar 

  • Risser DT, Rice MM, Salisbury ML, Simon R, Jay GD, Berns SD (1999) The potential for improved teamwork to reduce medical errors in the emergency department. The MedTeams Research Consortium. Ann Emerg Med 34:373–383

    Article  PubMed  CAS  Google Scholar 

  • Runciman WB (1988) Crisis management. Anaesth Intensive Care 16:86–88

    PubMed  CAS  Google Scholar 

  • Sloman SA (2002) Two systems of reasoning. In: Gilovich T, Griffin D, Kahneman D (eds) Heuristics and biases: the psychology of intuitive judgment. Cambridge University Press, Cambridge, pp 379–398

    Chapter  Google Scholar 

  • Small SD, Wuerz RC, Simon R, Shapiro N, Conn A, Setnik G (1999) Demonstration of high-fidelity simulation team training for emergency medicine. Acad Emerg Med 6:312–323

    Article  PubMed  CAS  Google Scholar 

  • Wason PC, Evans JSBT (1975) Dual processing in reasoning? Cognition 3:141–154

    Article  Google Scholar 

Download references

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Correspondence to Michael St.Pierre .

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St.Pierre, M., Hofinger, G., Buerschaper, C., Simon, R. (2011). Strategies for Action:Ways to Achieve Good Decisions. In: Crisis Management in Acute Care Settings. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-19700-0_10

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  • DOI: https://doi.org/10.1007/978-3-642-19700-0_10

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