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A qualitative study of systemic influences on paramedic decision making Item Type:ArticleItem Status:Live ArchiveAbstractObjectives: Paramedics routinely make critical decisions about the most appropriate care to deliver in a complex system louis vuitton shoes glasgow characterized by significant variation in patient case mix, care pathways and linked service providers.

There has been little research carried out in the ambulance service to identify areas of risk associated with decisions about patient care. The aim of this study was to explore systemic influences on decision making by paramedics relating to care transitions to identify potential louis vuitton taiga leather briefcase risk factors. Methods: An exploratory multi method qualitative study was conducted in three English National Health Service (NHS) Ambulance Service Trusts, focusing on decision making by paramedic and specialist paramedic staff. louis vuitton alma style bag Researchers observed 57 staff across 34 shifts. The study highlighted the increased complexity of paramedic decisions and multi level system influences that may louis vuitton iphone 4 cover amazon exacerbate risk. ensuring access to appropriate patient care options as alternatives to the emergency department). Keywords:decision making, paramedic, patient safety, system risk factors, bmjgoldcheckSubjects:B Subjects allied to Medicine > B900 Others in Subjects allied to Medicine A Medicine and Dentistry > A300 Clinical MedicineDivisions:College of Social Science > School of Health Social CareID Code:16175Deposited On:04 Dec 2014 08:43.

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