Development of an Adapted Model for Decision-Making to Improve Reasoning and Risk Assessment in an Emergency Team: A Prospective Simulation Study
Development of an Adapted Model for Decision-Making to Improve Reasoning and Risk Assessment in an Emergency Team: A Prospective Simulation Study
Blog Article
Background and Objectives: Medical staff is rarely trained in structured decision-making, relying instead on intuition without due consideration for the associated pros and cons.Materials and Methods: We adopted a model for decision-making to improve reasoning and risk assessment and carried out a prospective simulation study using paramedic students in a three-year training program.We Fridge Door Shelf Rail conducted a training session in which participants were lectured on decision-making using the FAR-BEK model (German abbreviation for facts, alternatives, risks, competence, decision, control), physiological processes in decision-making under stress, as well as medico-legal aspects for the comprehension and justification of medical decisions.We analyzed pre- and post-training scenarios to elucidate the influence of training on decision-making.
Results: Twenty paramedic students, with a mean age of 22.0 ± 1.7 years, took part in the study.The question of whether decision aids can be applied, initially affirmed by 40% of participants, rose to 71.
4% (p = 0.011) following our training.Confidence in decision-making increased on a 7-point Likert scale from 4.5 to 4.
8 points (p < 0.394).The reasoning behind the decisions rose from 5.3 to 5.
6 points (p < 0.081).Indication, options, and risks rose significantly, from 5.4 to 6.
1 points (p = 0.045).Overall, our simulation training significantly increased the Bachelorette points of decision support taken into account (57.8% vs.
88.9%, p < 0.001).Viewed individually, the largest increase of 180% was seen in risk assessment (33.
3% vs.93.3%, p < 0.002).
The second largest increase of 150% was seen in the question of one’s own permissions (26.7% vs.66.7%, p < 0.
066).Also, the control increased (40.0% vs.86.
7%, p < 0.021).Conclusions: With a brief training course, both the awareness and the implementation of a structured decision-making model in paramedic students can be significantly increased.Nevertheless, no definitive conclusions can be made with respect to the implementation of real patient care.
The application of structured, standardized decision-making tools may need to be further consolidated in routine medical use.