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1 results

  • Decision-making in crisis resolution and home treatment teams: The AWARE framework

  • Chiara Lombardo, Mónica Santos, Tine Van Bortel, Robert Croos, Ella Arensman, Manaan Kar Ray
  • Journal:
    BJPsych Bulletin / Volume 43 / Issue 2 / April 2019
    Published online by Cambridge University Press:
    19 November 2018, pp. 61-66
    Print publication:
    April 2019
    • Article
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      • Open access
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  • Aims and method

    The aim of the study is to improve patient safety by identifying factors influencing gatekeeping decisions by crisis resolution and home treatment teams. A theoretical sampling method was used to recruit clinicians. Semi-structured interviews to elicit various aspects of clinical decision-making were carried out. The transcripts were thematically analysed using a grounded theory approach.

    Results

    Patient needs (safety and treatment) was the primary driver behind decisions. The research also revealed that information gathered was processed using heuristics. We identified five key themes (anxiety, weighting, agenda, resource and experience), which were constructed into an acronym ‘AWARE’.

    Clinical implications

    AWARE provides a framework to make explicit drivers for decision-making that are often implicit. Incorporating these drivers into reflective practice will help staff be more mindful of undue influences and result in improved clinical decisions.

    Declaration of interest

    None.