ArticleBMC emergency medicine2021
Major challenges and barriers in clinical decision-making as perceived by emergency medical services personnel: a qualitative content analysis.
Article in BMC emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.
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Who cites it
59 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Designing Chinese hospital emergency departments to leverage artificial intelligence-a systematic literature review on the challenges and opportunities.Frontiers in medical technology · 2024Pooled it
- Second victim experiences among Austrian nonphysician emergency medical services personnel : A cross-sectional analysis of symptom burden and associated factors.Wiener klinische Wochenschrift · 2026Article
- Exploring the Interplay Between Emotions and Medical Decision-Making: Insights from an Empirical Patient-Centred Study.Healthcare (Basel, Switzerland) · 2026Article
- Human-artificial intelligence collaboration in emergency medical services: from diagnostic algorithms to shared decision support.Clinical and experimental emergency medicine · 2026Article
- Article
- Determining the level of resilience amongst critical care transport professionals in a fixed-wing air ambulance environment.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- A Systematic Review of Factors Affecting Utilization of Decision Support Systems: The Interplay Between Technology, Users, and the Healthcare Environment.Health science reports · 2026Review
- Challenges and best practices in essential medicines supply and use in internally displaced persons (IDP) camps: A qualitative study.Exploratory research in clinical and social pharmacy · 2026Article
- Screening for Potential Drug-Drug Interactions in Patients Receiving Anticoagulant Therapy: A Comparison of Three Drug Interaction Databases for Consistency in Severity Rating, Evidence Classification, and Clinical Management.Medicina (Kaunas, Lithuania) · 2026Article
- Identifying the Challenges of Prehospital Emergency Centers in Providing Care in Wartime and Proposing Strategic Solutions: A Qualitative Study.Health science reports · 2026Article
- Risk assessment reasoning and decision-making by ambulance professionals in patients with a transient loss of consciousness: a qualitative study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Nurses' Clinical Reasoning Process: A Grounded Theory Study.Healthcare (Basel, Switzerland) · 2026Article
- Evaluating the real-world utility of four physiological scores for prehospital interventions in resource-limited EMS systems: a population-based study of 15,720 cases.BMC health services research · 2026Article
- The Effect of Emergency Department Nurses' Core Self-Evaluations on Their Perceptions of Clinical Decision-Making: A Cross-Sectional Study.Journal of nursing management · 2026Article
- Influence of non-clinical factors on emergency department decision-making: a Delphi study.BMC emergency medicine · 2025Article
- Development and Validation of the Evaluating Attitudes, Training and Skills in Dysphagia Care (EATS) Questionnaire Among Nursing Home Nurses in Singapore.Nursing reports (Pavia, Italy) · 2025Article
- Presenteeism and its relationship with resilience among pre-hospital emergency technicians: a multicenter cross-sectional study.BMC health services research · 2025Article
- Predicting Emergency Severity Index (ESI) level, hospital admission, and admitting ward in an emergency department using data-driven machine learning.BMC medical informatics and decision making · 2025Article
- Design and psychometric evaluation of the Emergency Medical Services Safe Care Scale (EMSSCS): a mixed-method study.BMC emergency medicine · 2025Article
- Comparison of emergency physician opinions with MSOFA and PREMEWS scores in determining the necessity of non-traumatic internal medicine patient transfers to the emergency department: a longitudinal study.BMC emergency medicine · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHaving to work in unpredictable and critical conditions, emergency care services (EMS) personnel experience complicated situations at the scene of accidents which, inevitably, influence their clinical decisions. There is a lack of research into the challenges which these professionals encounter. Accordingly, the present study aims to explore the major challenges and barriers which affect clinical decision-making from the perspective of EMS personnel.
methodsThe present study is a qualitative work with a content analysis approach. Selected via purposeful sampling, the subjects were 25 members of the EMS personnel in Iran who met the inclusion criteria. The study lasted from December 2019 to July 2020. Sampling was maintained to the point of data saturation. Data were collected using semi-structured, in-depth, individual interviews. The collected data were analyzed via qualitative content analysis.
resultsThe results of data analysis were categorized into four themes and eight categories. The main themes were professional capabilities, occupational and environmental factors, inefficient organizational management, and ethical issues.
conclusionThe results of the present study show that clinical knowledge, experience, and skills contribute to emergency care personnel's professional capabilities in making clinical decisions. Good teamwork skills and time management can prevent feelings of confusion when the number of the injured to be attended to is large. Effective clinical decision-making skills can not only help the personnel make the right decision, but enhances their resilience and enables them to adapt to hard and unpredictable conditions. Professional factors, organizational management, and ethical matters constitute the other major factors which influence the clinical decision-making of emergency care personnel at the scene of accidents and determine the quality of their clinical performance. Thus, it is essential that pre-hospital emergency care managers improve the quality of EMS personnel's clinical decision-making skill.
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