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Complex Decision Making in the Pediatric Catheterization Laboratory: Catheterizer, Know Thyself and the Data

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Abstract

Optimal outcomes are as much influenced by critical decision making pathways as by the technical skill of the operator. The complexity and potential cognitive traps underlying critical decision making has long been recognized in the aviation and business communities, however, remains a largely subconscious, unexamined discipline amongst congenital cardiac interventionalists. Challenges to making good decisions in the catheterization laboratory include heuristics, biases, and cognitive traps. In this paper we discuss some of the more common decision making challenges encountered and we address potential solutions to such decision making with particular focus towards standardization.

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Authors and Affiliations

  1. Department Pediatric Cardiology, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland

    Sophie Duignan, Aedin Ryan, Damien Kenny & Colin J. McMahon

  2. Greater Sydney Area Helicopter Emergency Medical Service, NSW Ambulance, Condell Park, Australia

    Brian Burns

  3. Sydney Medical School, Sydney University, Camperdown, Australia

    Brian Burns

  4. School of Medicine, University College Dublin, Belfield, Dublin 4, Ireland

    Colin J. McMahon

Authors
  1. Sophie Duignan
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  2. Aedin Ryan
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  3. Brian Burns
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  4. Damien Kenny
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  5. Colin J. McMahon
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Correspondence to Colin J. McMahon.

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This article does not contain any studies with human participants performed by any of the authors.

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Duignan, S., Ryan, A., Burns, B. et al. Complex Decision Making in the Pediatric Catheterization Laboratory: Catheterizer, Know Thyself and the Data. Pediatr Cardiol 39, 1281–1289 (2018). https://doi.org/10.1007/s00246-018-1949-x

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  • DOI: https://doi.org/10.1007/s00246-018-1949-x

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