scholarly journals Decision-making by medical officer in charge during major incidents: a qualitative study

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Karin Hugelius ◽  
Monica Rådestad ◽  
H. Al-Dhahir ◽  
L. Kurland
Keyword(s):  
Decision Making ◽  
Information Management ◽  
Medical Officer ◽  
Evaluation Process ◽  
Organizational Factors ◽  
Personal Factors ◽  
Essential Information ◽  
Incident Command ◽  
Major Incidents ◽  
Mental Preparedness

Abstract Background An incident command structure is commonly used to manage responses to major incidents. In the hospital incident command structure, the medical officer in charge (MOC) is in a key position. The decision-making process is essential to effective management, but little is known about which factors influence the process. Therefore, the current study aimed to describe factors influencing decision-making of MOCs. Methods A conventional content analysis was conducted based on 16 individual interviews with medical doctors who had been deployed as MOCs at Swedish hospitals during major incidents. Results The results showed that the decision-making and re-evaluation process was a comprehensive analysis influenced by three categories of factors: event factors, including consequences from the type of event, levels of uncertainty and the circumstances; organizational factors, including the doctor’s role, information management and the response to the event; and personal factors, such as competence, personality and mental preparedness. Conclusions Reliable and timely information management structure enabling the gathering and analysis of essential information, a clear command structure and appropriate personal qualities were essential and contributed to successful MOCs decision making in major incidents.

scholarly journals Hospital incident command groups’ disaster medicine performance. A prospective study concerning decision-making and staff procedure skills during major incident simulations

2020 ◽  
Author(s):  
Jason Patrick Murphy ◽  
Lisa Kurland ◽  
Monica Rådestad ◽  
Anders Rüter
Keyword(s):  
Decision Making ◽  
Performance Indicators ◽  
Disaster Medicine ◽  
Major Incident ◽  
Incident Command ◽  
Group Methods ◽  
Major Incidents ◽  
And Performance ◽  
A Prospective Study ◽  
Hospital Response

Abstract Background Hospital incident command groups’ (HICG) performance may have a profound impact on hospital response to major incidents. Previous research has assessed hospital incident command group capacity as opposed to performance and factors associated to performance. The objective was to assess associations between decision-making and staff procedure skills of the hospital incident command group. Methods This was a prospective observational study using performance indicators to assess hospital incident command groups’ decision-making and performance. A total of six hospitals in Stockholm, Sweden, with their respective HICGs participated. Associations between decision-making skills and structural procedure skills during major incident simulations were assessed using measurable performance indicators as per the protocol of the Disaster Management Indicator tool. Results Decision-making skills are correlated to structural procedure skills and overall HICG performance. Proactive decision-making skills had significantly lower means than reactive decision-making skills and are significantly correlated to structural procedure skills. Conclusion There is a significant correlation between decision-making skills and structural procedural skills. Hospital incident command groups’ proactive decision-making abilities tended to be less developed than reactive decision-making abilities and may be a predictive factor for overall hospital incident command performance. A lack of proactive decision-making ability may hamper efforts to mitigate the effects of a major incident.

scholarly journals Hospital Incident Command Groups' Performance During Major Incident Simulations: A Prospective Observational Study.

2020 ◽  
Author(s):  
Jason Patrick Murphy ◽  
Lisa Kurland ◽  
Monica Rådestad ◽  
Anders Rüter
Keyword(s):  
Decision Making ◽  
Observational Study ◽  
Performance Indicators ◽  
Prospective Observational Study ◽  
Group Performance ◽  
Major Incident ◽  
Incident Command ◽  
Major Incidents ◽  
And Performance ◽  
Hospital Response

Abstract Background Hospital incident command groups’ (HICG) performance may have a profound impact on hospital response to major incidents. Previous research has assessed hospital incident command group capacity as opposed to performance and factors associated to performance. The objective was to assess associations between decision-making and staff procedure skills of the hospital incident command group.Methods This was a prospective observational study using performance indicators to assess hospital incident command groups’ decision-making and performance. A total of six hospitals in Stockholm, Sweden, with their respective HICGs participated. Associations between decision-making skills and staff procedure skills during major incident simulations were assessed using measurable performance indicators Results Decision-making skills are correlated to staff procedure skills and overall HICG performance. Proactive decision-making skills had significantly lower means than reactive decision-making skills and are significantly correlated to staff procedure skills.Conclusion There is a significant correlation between decision-making skills and staff procedural skills. Hospital incident command groups’ proactive decision-making abilities tended to be less developed than reactive decision-making abilities. These proactive decision-making skills may be a predictive factor for overall hospital incident command group performance. A lack of proactive decision-making ability may hamper efforts to mitigate the effects of a major incident.

scholarly journals Women in Indian Public Administration: Prospects and Challenges

2019 ◽  
Vol 9 (3) ◽  
pp. 210
Author(s):  
V S Beniwal ◽  
Bulbul Dhar James
Keyword(s):  
Decision Making ◽  
Gender Equity ◽  
Gender Stereotypes ◽  
Civil Service ◽  
Organizational Factors ◽  
Personal Factors ◽  
Public And Private ◽  
Female Officer ◽  
Administrative Service ◽  
The Government

To achieve equitable development in society gender equity in civil service is sine qua non. It is crucial that the structures of authority, decision making and implementation should be modified to provide access and equity to all segments of society including women. But ironically, women inhabit only 20% of decision-making places in public and private realm. Further, worldwide their visibility is merely 1-5% at apex positions in organisations. Alike, Indian Civil Service (ICS) was manned exclusively by men before 1947. Since Independence, women have been permitted to ender in the public sector including All-India Services. AIS Rules, 1954 entitled the government to demand the resignation of a female officer after marriage on ground of efficiency notwithstanding the Constitutional parity. 1972 gender parity was introduced in the most prestigious services. Nevertheless, the percentage of women in the services is abysmally low. In 2015 women were merely 12 percent and 6.4 percent in Indian Administrative Service (IAS) and Indian Police Service (IPS) respectively. Further, analysis unambiguously exposes that women are confined mainly in the sectors that foster prevailing gender stereotypes of their innateness province of bear, rear and nurture. The proposed study probes gender equity in Indian civil services in general and AIS – IAS and IPS in particular. The study reveals that women are underrepresented in IAS in general and managerial/executive position(s) in particular. Mainly three layers of hurdles are stifling their participation in these services e.g. personal factors, organizational factors and institutional and cultural factors. 

AAC Decision-Making and Mobile Technology: Points to Ponder

2014 ◽  
Vol 23 (2) ◽  
pp. 104-111 ◽  
Author(s):  
Mary Ann Abbott ◽  
Debby McBride
Keyword(s):  
Decision Making ◽  
Mobile Technology ◽  
Communication System ◽  
Augmentative And Alternative Communication ◽  
Evaluation Process ◽  
Decision Making Process ◽  
Alternative Communication ◽  
Ipod Touch ◽  
Feature Match

The purpose of this article is to outline a decision-making process and highlight which portions of the augmentative and alternative communication (AAC) evaluation process deserve special attention when deciding which features are required for a communication system in order to provide optimal benefit for the user. The clinician then will be able to use a feature-match approach as part of the decision-making process to determine whether mobile technology or a dedicated device is the best choice for communication. The term mobile technology will be used to describe off-the-shelf, commercially available, tablet-style devices like an iPhone®, iPod Touch®, iPad®, and Android® or Windows® tablet.

Minimizing Bias in Forensic Handwriting Examinations

2015 ◽  
Vol 25 ◽  
pp. 17-26 ◽  
Author(s):  
L. C. Alewijnse ◽  
E.J.A.T. Mattijssen ◽  
R.D. Stoel
Keyword(s):  
Decision Making ◽  
Information Management ◽  
Contextual Information ◽  
Context Information ◽  
Decision Making Process ◽  
Potential Bias ◽  
Potential Influence ◽  
Management Procedures

The purpose of this paper is to contribute to the increasing awareness about the potential bias on the interpretation and conclusions of forensic handwriting examiners (FHEs) by contextual information. We briefly provide the reader with an overview of relevant types of bias, the difficulties associated with studying bias, the sources of bias and their potential influence on the decision making process in casework, and solutions to minimize bias in casework. We propose that the limitations of published studies on bias need to be recognized and that their conclusions must be interpreted with care. Instead of discussing whether bias is an issue in casework, the forensic handwriting community should actually focus on how bias can be minimized in practice. As some authors have already shown (e.g., Found & Ganas, 2014), it is relatively easy to implement context information management procedures in practice. By introducing appropriate procedures to minimize bias, not only forensic handwriting examination will be improved, it will also increase the acceptability of the provided evidence during court hearings. Purchase Article - $10

scholarly journals Cognitive biases, environmental, patient and personal factors associated with critical care decision making: A scoping review

2021 ◽  
Author(s):  
Iris E. Beldhuis ◽  
Ramesh S. Marapin ◽  
You Yuan Jiang ◽  
Nádia F. Simões de Souza ◽  
Artemis Georgiou ◽  
...  
Keyword(s):  
Decision Making ◽  
Critical Care ◽  
Scoping Review ◽  
Cognitive Biases ◽  
Personal Factors ◽  
Factors Associated ◽  
Care Decision

scholarly journals Approach to Multi-Attribute Decision-Making Methods for Performance Evaluation Process Using Interval-Valued T-Spherical Fuzzy Hamacher Aggregation Information

Axioms ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 145
Author(s):  
Yun Jin ◽  
Zareena Kousar ◽  
Kifayat Ullah ◽  
Tahir Mahmood ◽  
Nimet Yapici Pehlivan ◽  
...  
Keyword(s):  
Decision Making ◽  
Fuzzy Set ◽  
Evaluation Process ◽  
Aggregation Operators ◽  
Weighted Averaging ◽  
Membership Degree ◽  
Operational Laws ◽  
Multi Attribute Decision Making ◽  
Interval Valued ◽  
Do So

Interval-valued T-spherical fuzzy set (IVTSFS) handles uncertain and vague information by discussing their membership degree (MD), abstinence degree (AD), non-membership degree (NMD), and refusal degree (RD). MD, AD, NMD, and RD are defined in terms of closed subintervals of that reduce information loss compared to the T-spherical fuzzy set (TSFS), which takes crisp values from intervals; hence, some information may be lost. The purpose of this manuscript is to develop some Hamacher aggregation operators (HAOs) in the environment of IVTSFSs. To do so, some Hamacher operational laws based on Hamacher t-norms (HTNs) and Hamacher t-conorms (HTCNs) are introduced. Using Hamacher operational laws, we develop some aggregation operators (AOs), including an interval-valued T-spherical fuzzy Hamacher (IVTSFH) weighted averaging (IVTSFHWA) operator, an IVTSFH-ordered weighted averaging (IVTSFHOWA) operator, an IVTSFH hybrid averaging (IVTSFHHA) operator, an IVTSFH-weighted geometric (IVTSFHWG) operator, an IVTSFH-ordered weighted geometric (IVTSFHOWG) operator, and an IVTSFH hybrid geometric (IVTSFHHG) operator. The validation of the newly developed HAOs is investigated, and their basic properties are examined. In view of some restrictions, the generalization and proposed HAOs are shown, and a multi-attribute decision-making (MADM) procedure is explored based on the HAOs, which are further exemplified. Finally, a comparative analysis of the proposed work is also discussed with previous literature to show the superiority of our work.

scholarly journals Health-Oriented Self- and Employee Leadership in Virtual Teams: A Qualitative Study with Virtual Leaders

2020 ◽  
Vol 17 (18) ◽  
pp. 6519
Author(s):  
Ilona Efimov ◽  
Volker Harth ◽  
Stefanie Mache
Keyword(s):  
Virtual Teams ◽  
Leadership Behaviors ◽  
Qualitative Content Analysis ◽  
Workplace Health Promotion ◽  
Organizational Factors ◽  
Working Environment ◽  
Stress Factors ◽  
Boundary Management ◽  
Personal Factors ◽  
Great Awareness

Virtual teamwork as a new way of working is becoming increasingly prevalent in a growingly globalized and digitalized working environment. Due to the associated raise in health-related stress factors at the workplace and the central role of leaders in workplace health promotion, the aim of this study is to obtain initial findings on the use of health-oriented self- and employee leadership in virtual teams from the perspective of virtual leaders. Semi-structured telephone interviews were conducted with 13 virtual leaders by using the problem-centered interview method. The collected data were deductively and inductively evaluated and interpreted using the qualitative content analysis according to Mayring. The results show that virtual leaders ascribed great value of health and showed great awareness in health-oriented self- and employee leadership. Physical activity and boundary management were particularly mentioned as health-oriented self-leadership behaviors. The majority of leaders described communication, building trust, support in boundary management and implementation of personal meetings as health-oriented employee leadership behaviors. In addition to social, technical, and personal factors, primarily organizational factors were mentioned as factors of influence in this context. For a more comprehensive understanding of health-oriented leadership, the inclusion of virtual team members in further research studies is necessary.

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