Managing inconsistencies in medical decision-making: An eight-fold typology

Martin Svensson and Mattias Jacobsson

European Management Journal, 2024, vol. 42, issue 1, 130-141

Abstract: This paper serves to deepen the understanding of how inconsistencies between feeling, thinking, and doing are managed by decision-makers in emergency settings. We use a practice approach and investigate the emergency physicians in an Emergency Department (ED), by means of 200 h of observations, 12 in-depth interviews, and organizational documentation. Data are analyzed using an abductive template-based approach. The configuration of three different decision-making modes, namely an experiential-based mode, an ostensive-based mode, and an action-based mode, provide an eight-fold typology of emergency physicians' decision-making praxis. “Weak” signals are the starting point for clinical assessment, and inconsistencies among the modes are strategically used and surprisingly often associated with positive treatment outcomes. The praxis perspective used in this article bridges literature on choice and interpretation—processes usually separated in organizational and decision-making literature. Inconsistency between the modes allow physicians to create an action space where decision-making is about more than providing the “right” answer. Making use of the eight-fold typology helps physicians identify “blind spots”, improve practice in both mundane and medically rare cases, as well as aid in revision of existing routines. This awareness also provides for high-quality care, an increased acceptance of inconsistencies by the public, with a potential to reduce litigation issues.

Date: 2024
References: Add references at CitEc
Citations:

Downloads: (external link)
http://www.sciencedirect.com/science/article/pii/S0263237322001220
Full text for ScienceDirect subscribers only

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:eee:eurman:v:42:y:2024:i:1:p:130-141

Ordering information: This journal article can be ordered from
http://www.elsevier.com/wps/find/journaldescription.cws_home/115/bibliographic
http://www.elsevier. ... me/115/bibliographic

DOI: 10.1016/j.emj.2022.09.008

Access Statistics for this article

European Management Journal is currently edited by Michael Haenlein

More articles in European Management Journal from Elsevier
Bibliographic data for series maintained by Catherine Liu ().