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Hospital social workers' use of heuristics and fast-and-frugal decision trees when prioritizing referrals: A qualitative interview study
Journal article   Open access   Peer reviewed

Hospital social workers' use of heuristics and fast-and-frugal decision trees when prioritizing referrals: A qualitative interview study

Joanne Hilder, Maree Petersen and Jill Wilson
Social work in health care, Vol.First online, p.1
06/08/2026
PMID: 42561083
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Hospital social workers’ use of heuristics and fast-and-frugal decision treesView
Published (Version of record) Open CC BY V4.0

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Abstract

fast-and-frugal decision trees resource allocation decision-making professional judgment hospital social work Decision aids prioritization
Prioritizing referrals is a challenging and common task in hospital social work practice. However, it is not well understood what influences prioritization decisions. We drew on the psychosocial rationality model and fast-and-frugal decision trees to consider how Australian hospital social workers prioritize their referrals. In-depth interviews with 15 hospital social workers were completed. The qualitative analysis identified seven heuristics influencing decision-making: (1) imminent harm, (2) likelihood of death, (3) discharge status, (4) social workers' ability to help the patient, (5) risk factors, (6) protective factors, and (7) time needed to resolve the referral. Heuristics are simple to learn and provide assistance to social workers to enable them to make quick, transparent, and consistent prioritization decisions.

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