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{
    "pk": 33078,
    "title": "Complex Decision Makin g in Providing Surgical Intensive Care",
    "subtitle": null,
    "abstract": "Decisions made by physicians in intensive care medicine \nare often complex, requiring the consideration of \ninformation that may be incomplete, ambiguous, or even \ncontradictory. Under conditions of complexity and \nuncertainty, individuals may cope by using simplifying \ndecision strategies. The research described in this paper \nexamines the strategies used by physicians in coping with \ncomplexity in decision making. Six residents \n(intermediates) and three specialists in intensive care were \neach presented with 12 cases of intensive care respiratory \nproblems of varying levels of complexity. The subjects \nwere asked to think-aloud as they worked through the \nproblems and provided a management and treatment plan \nfor each case. The audiotaped protocols were coded for \nkey process variables in decision making and problem \nsolving. Despite the incompleteness and ambiguity of the \ninformation available, the confidence of physicians in \ntheir decision making was consistently high. The \nstrategies used by intermediates and experts in dealing \nwith the more complex cases varied considerably. Expert \nphysicians were found to focus on the assessment of the \ndecision problems to a greater extent than intermediates. \nImplications for research in decision making and medical \ncognition are discussed.",
    "language": "eng",
    "license": {
        "name": "",
        "short_name": "",
        "text": null,
        "url": ""
    },
    "keywords": [],
    "section": "17",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/5b17g7xg",
    "frozenauthors": [
        {
            "first_name": "Andre",
            "middle_name": "W .",
            "last_name": "Kushniruk",
            "name_suffix": "",
            "institution": "McGill University",
            "department": ""
        },
        {
            "first_name": "Vimla",
            "middle_name": "L.",
            "last_name": "Patel",
            "name_suffix": "",
            "institution": "McGill University",
            "department": ""
        },
        {
            "first_name": "David",
            "middle_name": "M .",
            "last_name": "Fleiszer",
            "name_suffix": "",
            "institution": "McGill University",
            "department": ""
        }
    ],
    "date_submitted": null,
    "date_accepted": null,
    "date_published": "1995-01-01T18:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/cognitivesciencesociety/article/33078/galley/24139/download/"
        }
    ]
}