Prescribing decision making by medical residents on night shifts: A qualitative study.

ABSTRACT:

Introduction

Prescribing of medications with well-known adverse effects, like antipsychotics or benzodiazepines, during hospitalisation is extremely common despite guideline recommendations against their use. Barriers to optimal prescribing, including perceived pressure from allied health professionals and fatigue, may be particularly pronounced for less experienced medical residents, especially during night shifts when these medications are often prescribed. Under these circumstances, physicians may be more likely to use 'quick', often referred to as System 1 choices, rather than 'considered' System 2 strategies for decisions. Understanding how medical residents use, these different cognitive approaches could help develop interventions to improve prescribing.

Methods

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SUBMITTER: Lauffenburger JC 

PROVIDER: S-EPMC9474569 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature