12/27/2022 0 Comments Gary klein study fire commander![]() ![]() ![]() Overuse of urinary catheters in healthcare settings is a known problem yet the extent to which it is possible to avoid catheter use is unclear. A recognition-primed decision (RPD) model was synthesized from these data, which emphasized the use of recognition rather than calculation or analysis for rapid decision making.īackground: Urinary tract infection is a leading cause of healthcare associated infection in hospitals with around half of these being attributable to indwelling urinary catheters. In this way, the FGCs handled decision points without any need to consider more than one option. In over 80% of the decision points, the strategy was for the FGCs to use their experience to directly identify the situation as typical of a standard prototype and to identify a course of action as typical for that prototype. In less than 12% of them was there any evidence of simultaneous comparisons and relative evaluation of two or more options. ![]() A total of 156 decision points were probed in this way. Each interview covered a critical incident that was nonroutine and that demanded expertise. Interviews were conducted with 26 experienced FGCs (mean experience of 23 years). The domain of fire-fighting was selected, and the research focused on the decisions made by fire ground commanders (FGCs). The objective of this study was to examine the way in which decisions are made by highly proficient personnel, under conditions of extreme time pressure, and in environments where the consequences of the decisions could affect lives and property. ![]()
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