scholarly journals O17 Multidisciplinary decision-making strategies may reduce the need for surgery in complex colonic polyps—a systematic review

2021 ◽  
Vol 108 (Supplement_5) ◽  
Author(s):  
J Parker ◽  
S Gupta ◽  
J Torkington ◽  
S Dolwani
Keyword(s):  
Decision Making ◽  
Treatment Outcomes ◽  
Group Decision Making ◽  
Selection Criteria ◽  
Group Decision ◽  
Colonic Polyps ◽  
Inclusion Criteria ◽  
Secondary Surgery ◽  
Surgery Rates ◽  
The Impact

Abstract Introduction The recognition of complex colonic polyps is increasing. Management varies considerably and the impact of this on clinical outcomes is unclear. The aim of this systematic review was to assess the impact of group decision-making strategies and defined selection criteria on the treatment outcomes of complex colonic polyps. Method A systematic literature review identified studies reporting complex polyp treatment outcomes and describing their decision-making strategies. Databases searched included PubMed, Web of Science, CINAHL and Scopus. Articles were identified by two blinded reviewers using defined inclusion criteria. The review protocol was registered on PROSPERO and performed in line with PRISMA guidelines. Results There were 303 identified articles describing treatment outcomes of complex colonic polyps. Only 9 of these fully described the decision-making strategy and met the inclusion criteria. The median adverse event, unsuspected malignancy and secondary surgery rates were 7.7%, 3.8% and 14.4% respectively. Grouping of articles into a hierarchy of decision-making strategies demonstrated a sequential reduction in secondary surgery rates with improving strategies. The secondary surgery rate was significantly lower in studies using group decision-making and defined selection criteria. There was no significant difference in comparisons of adverse event or unsuspected malignancy rates. Conclusions There is limited reporting of decision-making strategies in studies describing complex polyp treatment outcomes. The use of group decision-making and defined selection criteria may reduce the need for surgery in complex colonic polyps. This has implications of cost effectiveness for healthcare systems and benefits to patient quality of life.

The impact of family group decision-making on preventing removals

2017 ◽  
Vol 78 ◽  
pp. 89-92 ◽  
Author(s):  
Matthew C. Lambert ◽  
Leah E. Johnson ◽  
Eugene W. Wang
Keyword(s):  
Decision Making ◽  
Group Decision Making ◽  
Group Decision ◽  
Family Group ◽  
The Impact

Decision rules, escalation of commitment and sensitivity to framing in group decision-making

2016 ◽  
Vol 54 (7) ◽  
pp. 1649-1668 ◽  
Author(s):  
Petru Lucian Curseu ◽  
Sandra G. L. Schruijer ◽  
Oana Catalina Fodor
Keyword(s):  
Decision Making ◽  
Decision Rule ◽  
Group Decision Making ◽  
Group Decision ◽  
Decision Rules ◽  
Escalation Of Commitment ◽  
Group Level ◽  
Content Type ◽  
The Impact ◽  
Collaborative Decision

Purpose – The purpose of this paper is to test the influence of collaborative and consultative decision rules on groups’ sensitivity to framing effect (FE) and escalation of commitment (EOC). Design/methodology/approach – In an experimental study (using a sample of 233 professionals with project management experience), the authors test the effects of collaborative and consultative decision rules on groups’ sensitivity to EOC and FE. The authors use four group decision-making tasks to evaluate decision consistency across gain/loss framed decision situations and six decision tasks to evaluate EOC for money as well as time as resources previously invested in the initial decisions. Findings – The results show that the collaborative decision rule increases sensitivity to EOC when financial resources are involved and decreases sensitivity to EOC when time is of essence. Moreover, the authors show that the collaborative decision rule decreases sensitivity to FE in group decision making. Research limitations/implications – The results have important implications for group rationality as an emergent group level competence by extending the insights concerning the impact of decision rules on emergent group level cognitive competencies. Due to the experimental nature of the design, the authors can probe the causal relations between the investigated variables, yet the authors cannot generalize the results to other settings. Practical implications – Managers can use the insights of this study in order to optimize the functioning of decision-making groups and to reduce their sensitivity to FEs and EOC. Originality/value – The study extends the research on group rationality and it is one of the few experimental attempts used to understand the role of decision rules on emergent group level rationality.

Fuzzy multi-attribute group decision making to identify the order of establishing temporary logistics hubs during disaster response

2019 ◽  
Vol 9 (1) ◽  
pp. 2-21 ◽  
Author(s):  
Rajali Maharjan ◽  
Shinya Hanaoka
Keyword(s):  
Decision Making ◽  
Group Decision Making ◽  
Disaster Response ◽  
Group Decision ◽  
Decision Makers ◽  
Numerical Illustration ◽  
Content Type ◽  
Using Data ◽  
The Impact ◽  
Post Disaster

Purpose The purpose of this paper is to reveal the importance of the order of establishment of temporary logistics hubs (TLHs) when resources (mobile storage units used as TLHs) are limited and to present the development and implementation of a methodology that determines the order of establishment of TLHs to support post-disaster decision making. Design/methodology/approach It employed a decision support system that considers multiple decision makers and subjective attributes, while also addressing the impreciseness inherent in post-disaster decision making for ordering the establishment of TLHs. To do so, an optimization model was combined with a fuzzy multi-attribute group decision making approach. A numerical illustration was performed using data from the April 2015 Nepal Earthquake. Findings The results showed the location and order of establishment of TLHs, and demonstrated the impact of decision makers’ opinions on the overall ordering. Research limitations/implications The study does not discuss the uncertain nature of the location problem and the potential need for relocation of TLHs. Practical implications This methodology offers managerial insights for post-disaster decision making when resources are limited and their effective utilization is vital. The results highlight the importance of considering the opinions of multiple actors/decision makers to enable coordination and avoid complication between the growing numbers of humanitarian responders during disaster response. Originality/value This study introduces the concept of the order of establishment of TLHs and demonstrates its importance when resources are limited. It develops and implements a methodology determining the order of establishment of TLHs to support post-disaster decision making.

scholarly journals Family group decision-making interventions in adult healthcare and welfare: a systematic literature review of its key elements and effectiveness

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e026768
Author(s):  
Chantal F Hillebregt ◽  
Eline W M Scholten ◽  
Marcel W M Post ◽  
Johanna M A Visser-Meily ◽  
Marjolijn Ketelaar
Keyword(s):  
Decision Making ◽  
Group Decision Making ◽  
Group Decision ◽  
Controlled Trial ◽  
Intervention Group ◽  
Family Group ◽  
Quality Level ◽  
Adult Care ◽  
Level Of Evidence ◽  
The Impact

BackgroundFamily group decision-making (FGDM) is a structured decision-making process, aiming to shift the balance of power from professional towards the person in need and their family. It differentiates from other family-centred meetings by the presence of three key elements: (1) plan with actions/goals, (2) family driven, (3) three phases of meetings gradually increasing empowerment. FGDM studies are increasing in different settings in adult healthcare/welfare, although effectiveness is unknown at this date.Objectives(1) to systematically review the presence of the three FGDM key elements in family-centred interventions in adult care and welfare, (2) to evaluate the effectiveness of FGDM interventions.DesignSystematic review.Data sources and eligibility criteriaA total of 14 relevant electronic databases and 1 academic search machine were searched until February 2018. First, family-centred studies were selected with controlled trial designs in adult healthcare/welfare. Second, interventions were categorised as FGDM if all three key elements were present.Data extraction and synthesisStudies were examined concerning their (1) characteristics (2) quality/level of evidence (3) presence of FGDM key elements and (4) results.ResultsSix articles from three studies on family-centred interventions were selected from a total of 1680 articles. All were of low quality. One study (two articles) met all criteria for an FGDM intervention, describing the efficacy of family group conferences among social welfare recipients on mental health outcomes. Although the intervention group showed significantly better outcomes after 16–23 weeks; no differences were seen at the 1-year follow-up.ConclusionsControlled studies of both family-centred interventions and FGDM are still low in quantity and quality. No conclusions on FGDM effectiveness can be drawn. Further high-quality intervention studies are required to evaluate the impact of FGDM on adults in need, including their families; as well as evaluation research detecting possible barriers and facilitators influencing FGDM implementation.PROSPERO registration numberCRD42017077585.

scholarly journals NC-TODIM Based MAGDM under Neutrosophic Cubic Set Environment

2017 ◽  
Author(s):  
Surapati Pramanik ◽  
Shyamal Dalapati ◽  
Shariful Alam ◽  
Tapan Kumar Roy
Keyword(s):  
Decision Making ◽  
Group Decision Making ◽  
Group Decision ◽  
Attenuation Factor ◽  
Neutrosophic Set ◽  
Conduct Sensitivity Analysis ◽  
Todim Method ◽  
Interval Neutrosophic Set ◽  
Ranking Order ◽  
The Impact

Neutrosophic cubic set is the hybridization of the concept of neutrosophic set and interval neutrosophic set. Neutrosophic cubic set has the capacity to express the hybrid information of both the interval neutrosophic set and the single valued neutrosophic set simultaneously. As newly defined, little research on the operations and applications of neutrosophic cubic sets appear in the current literature. In the present paper we propose the score, accuracy functions for neutrosophic cubic sets and prove their basic properties. We firstly develop TODIM method to solve multi attribute group decision making in neutrosophic cubic set environment, which we call NC-TODIM. Also, we solve a MAGDM problem using the proposed NC-TODIM method to show the applicability and effectiveness of the developed method. We also conduct sensitivity analysis to show the impact of ranking order of the alternatives for different values of attenuation factor of losses for multi-attribute group decision making problem.

Influence of Group Cohesion and Information Sharing on Effectiveness of Design Review

2004 ◽  
Author(s):  
William Wetmore ◽  
Joshua D. Summers
Keyword(s):  
Decision Making ◽  
Group Decision Making ◽  
Group Decision ◽  
Group Discussion ◽  
Group Cohesion ◽  
Design Issues ◽  
Design Review ◽  
Factorial Design Of Experiments ◽  
Collaborative Activities ◽  
The Impact

Research into group decision-making suggests that, dependent on the information distributed prior to a group discussion, the decision and discussion content can be predicted. While the impact to group decision-making has been studied, its impact on collaborative activities such as design review has not been well investigated. A full factorial design of experiments (3×3, DOE) is conducted to investigate the influence of group cohesion and the awareness of the presence of unshared information among group members on design review effectiveness. The results suggest that awareness may have an effect on locating design issues by representation, functional group domain, and the total amount of design issues located.

scholarly journals Clerkship Grading Committees: the Impact of Group Decision-Making for Clerkship Grading

2019 ◽  
Vol 34 (5) ◽  
pp. 669-676 ◽  
Author(s):  
Annabel K. Frank ◽  
Patricia O’Sullivan ◽  
Lynnea M. Mills ◽  
Virginie Muller-Juge ◽  
Karen E. Hauer
Keyword(s):  
Decision Making ◽  
Group Decision Making ◽  
Group Decision ◽  
The Impact
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