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

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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… Click to show full abstract

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.

Keywords: night shifts; prescribing decision; decision making; medical residents; making medical

Journal Title: Medical Education
Year Published: 2022

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