Paramedic judgment and decision-making, not unlike much of ambulance practice, have not been the subject of systematic, sustained research. There exists a paucity of research or inquiry that examines the mechanics of human error in paramedic practice, ambulance or pre-hospital settings. Little is known of how paramedics make judgments and decisions, and how paramedics deal with risk and uncertainty they commonly face in their tasks and the environment in which they work in. The literature and theories on judgment and decision-making are as extensive as they are controversial and the scientific community is yet to obtain a comprehensive understanding of the risk and uncertainty in judgment and decision-making. The following paper provides an introduction to the concepts of error, risk, and uncertainty in the context of paramedic judgment and decision-making, discussion of two analytic frameworks that examine such error, risk, and uncertainty, and commentary on their application to the paramedic setting.
Ramon Shaban RN, IPN, EMT-P, BSc(Med), BN, ADipAppSc(Amb), GCertInfCon, PGDipPH&TM, MEd (Research), MCommHealthPract(Hons), MRCNA, MACTM, PhD Candidate
Ramon is a lecturer in the School of Nursing and Midwifery at Griffith University. An ambulance paramedic, registered nurse, and medical scientist, Ramon has an extensive professional career spanning more than a decade in clinical practice, education and management in health care. Concurrently with ongoing clinical practice, Ramon has an emerging publication and research track record in a variety of areas related to emergency primary health care. Of particular interest to Ramon is clinical judgment and decision-making of health care workers in this setting. He is a Clinical Research Leader with the National Institute of Clinical Studies (NICS) Emergency Care Community of Practice, and has published in the area of infection control, infectious diseases, mental illness, clinical judgment and decision-making, and quality and safety in health care. Ramon regularly reviews for a number of national and international journals, and is in the final stages of completing his PhD that examines paramedic clinical judgment and decision-making of mental illness in the emergency care setting.
Contact Details: Ramon Shaban School of Nursing and Midwifery Research Centre for Practice Innovation Griffith University University Drive, Meadowbrook. QLD. 4131. Ph: +61 (07) 3382 1271 Fax: + 61 (07) 3382 1277 Email: email@example.com
JEPHC PUBLICATIONS Student Contributions Paramedic clinical judgment of mental illness: Representations of official accounts (Paper 4 of a Four part series) Accounting for assessments of mental illness in paramedic practice: A new theoretical framework (Paper 3 of a Four part series)
Theories of clinical judgment and decision-making: A review of the theoretical literature (Paper 2 of a Four part series) Mental health and mental illness in paramedic practice: A warrant for research and inquiry into accounts of paramedic clinical judgment and decision-making (Paper 1 of a Four part series)
Clinical Practice Paramedic knowledge of infectious disease aetiology and transmission in an Australian Emergency Medical System
Original Reseach Paramedics' clinical judgment and mental health assessments in emergency contexts: Research, practice, and tools of the trade Uncertainty, Error and Risk in Human Clinical Judgment: Introductory Theoretical Frameworks in Paramedic Practice
Book Reviews Pathophysiology Paramedic
The Australian Immunisation Handbook 2003
Infection Control in the Community Nursing Research: Methods, Critical Appraisal and Utilization Paramedic field care: A complaint-based approach
Communicable Diseases and Infection Control for EMS
Writers' Workshop A Guide to Writing Book Reviews
Associate Professor Claire M. Wyatt Smith Director, Centre for Applied Language, Literacy and Communication Studies, Griffith University, Queensland, Australia
All Correspondence to: Ramon Shaban
Professor J. Joy Cumming Centre for Applied Language, Literacy and Communication Studies, Griffith University, Queensland, Australia
All correspondence to: Ramon Shaban
Shaban, Ramon; Wyatt Smith, Claire M.; and Cumming, J. Joy
"Uncertainty, Error and Risk in Human Clinical Judgment: Introductory Theoretical Frameworks in Paramedic Practice,"
Journal of Emergency Primary Health Care:
1, Article 9.
Available at: http://ro.ecu.edu.au/jephc/vol2/iss1/9