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Decision-making by medical officer in charge during major incidents: a qualitative study
Örebro University, School of Health Sciences.ORCID iD: 0000-0003-0534-4593
Department of Clinical Science and Education, Karolinska Institutet, SödersjukhusetStockholm, Sweden; Capio St. Görans Hospital, Stockholm, Sweden.
Department of Emergency Medicine, Örebro University Hospital, Örebro, Sweden.
Örebro University, School of Medical Sciences. Department of Medical Sciences.ORCID iD: 0000-0003-3290-4111
2021 (English)In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, E-ISSN 1757-7241, Vol. 29, no 1, article id 120Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
BioMed Central, 2021. Vol. 29, no 1, article id 120
Keywords [en]
Decision-making, Incident command major, Incidents, Major incident management
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:oru:diva-93814DOI: 10.1186/s13049-021-00937-8ISI: 000687145600003PubMedID: 34419113Scopus ID: 2-s2.0-85113257733OAI: oai:DiVA.org:oru-93814DiVA, id: diva2:1586734
Note

Funding agency:

Örebro University

Available from: 2021-08-22 Created: 2021-08-22 Last updated: 2024-01-17Bibliographically approved

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Hugelius, KarinKurland, Lisa

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