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Decision making, interaction within the team, the use of resources, as well as motor skills may be affected under stress, and go against the outcome as regards patient safety.
There are several barriers of implementation encompassing organisational factors such as time, setting, and workflow as well as decision making interaction factors such as patient characteristics and power imbalance in the patient-physician relationship [ 18, 19].
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According to a systematic review of factors determining knowledge application in decision making, interactions between researchers and healthcare policy makers and timing/timeliness are two factors that mostly appear to increase research use [ 51].
The model suggests an iterative process of theory, simulation, and decision-making interactions.
Based on rational assumptions, the game theory is to study the decision-making mechanism and the balance of decision-making interactions [9].
Furthermore, the dynamics of decision-making interactions between highly autonomous entities in these systems are poorly understood and can be undependable because of the absence of a master controller or optimizer.
Structural elements (increased formalization, decentralized decision-making), interactions between franchisor representatives and franchisee dealers, and market-related factors (external competition) were associated with lower levels of franchisee free riding.
According to van Ryn, these biases affect doctors when it comes to decision-making, interactions, and inter-personal behaviors [ 8].
Whereas joint decisions and interaction are reported as two different factors that account for learning in cooperative learning settings in other studies [ 21, 22], our results suggest that decision making and interaction are related: decision making turned out to be a means to induce interaction in the expert groups.
Moreover, decision making generated interaction in the expert groups.
The cooperative learning view helped to detect decision making and interaction as facilitating factors for learning to articulate integration in expert and resident groups, and added another viewpoint to explain the differences between residents' and experts' maps.
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