'Heads you win, tails I lose': A critical incident study of GPs' decisions about emergency admission referrals

Family Practice

Volumn 19, Issue 6, 2002, Pages 611-616

  Dempsey, Owen P ^a   Bekker, Hilary L ^b  

^a University of York ^*  (United Kingdom)

^b UNIVERSITY OF YORK   (United Kingdom)

Author keywords

Critical indidents; Decision making; Emergency admission; Health professional; Referrals

Indexed keywords

ARTICLE; CLINICAL OBSERVATION; CONSULTATION; CONTROLLED STUDY; EMERGENCY MEDICINE; EMOTION; GENERAL PRACTITIONER; HOSPITAL ADMISSION; HUMAN; MEDICAL DECISION MAKING; PATIENT INFORMATION; PATIENT REFERRAL; PEER REVIEW; PRACTICE GUIDELINE; PROSPECTIVE STUDY; RETROSPECTIVE STUDY; UNITED KINGDOM;

EID: 0036900498     PISSN: 02632136     EISSN: None     Source Type: Journal    
DOI: 10.1093/fampra/19.6.611     Document Type: Article

References (18)

1. Department of Health. Shaping the future NHS: long term planning for hospitals and related services. Consultation document on the findings of the National Beds Inquiry-supporting analysis. London: Department of Health, 2000.
2. National Patient Access Team GP emergency guidelines project. Guidelines for the management of common medical emergencies, 2001. London: Department of Health.
3. Lambert MF, Arblaster L, Di Blasi Z, Russell IT. Rise in emergency admissions: Final report. York: Department of Health Sciences and Clinical Evaluation, 1998.
4. O'Donnell C. Variation in GP referral rates, what can we learn from the literature. Fam Pract 2000; 17: 462-471.
5. Edwards N. Emergency Admissions. The wrong side of the bed. Health Serv J 1997; 107: 26-27.
6. Dowie R. General Practitioners and consultants: a study of out patient referrals. London: King Edward Hospital fund, 1983.
7. Baron J. Thinking and deciding. Cambridge: Cambridge University Press, 1994.
8. Tversky A, Kahneman D. Judgement under uncertainty: heuristics and biases. Science 1974; 185: 1124-1131.
9. Poses RM, Cebul RD, Collins M, Fager S. The accuracy of experienced physicians probability estimates for patients with sore throats. JAMA 1985; 254: 925-929.
10. Bushyhead J, Christensen-Szalanski J. Feedback and the illusion of validity in a medical clinic. Med Decis Making 1981; 1: 115-123.
11. Janis and Mann. Decision Making: a psychological analysis of conflict choice and commitment. The Free Press, 1977.
12. Flanagan JC. The critical incident technique. Psychol Bull 1954; 51: 327-358.
13. Bradley CP. Uncomfortable prescribing decisions: a critical incident study. BMJ 1992; 304: 294-296.
14. Strauss and Corbin. Basics of Qualitative Research, Grounded theory Procedures and Techniques. Sage Publications, 1990.
15. Guba E, Lincoln. Fourth Generation Evaluation. Newbury Park, CA: Sage, 1989.
16. Northey Jr WF. Using QSR Nud*ist to demonstrate confirmability in qualitative research. Fam Sci Rev 1997; 10: 170-179.
17. Chaiken S. Heuristic versus systematic processing and the use of source versus message cues in persuasion. J Pers Soc Psychol 1980; 39: 752-766.
18. Bekker H, Thornton JG, Airey CM et al. Informed decision making: an annotated bibliography and systematic review. UK: Health Technology Assessment, 1999. Number 3. NHS R&D.