The aims of the practical work carried out for this thesis were to redesign a clinical decision support system for thoracic surgeons, called AssistMe, and to evaluate the concept behind this system. The main objective of the thesis is to give an account of the considerations that were found to be of key importance for designing a clinical decision support system for thoracic surgery. Another aim was to let future users test the system after it had been redesigned and evaluate the concept behind it. The thesis also investigates users? experience of the system and their views on whether it would be applicable in their daily work practice.

Citizens? freedom of choice has been a subject of debate in Sweden for over 30 years. This study focuses on decision making processes among patients within the Swedish healthcare system. The main conclusions are that in contrast to how patients? freedom of choice is described within governmental bills and governmental inquires and reports, patients are not following the steps included in the rational model of decision making.

Many organizations utilize decision support systems in order to handle different tasks and tosupport the decision-making process. Decision support system is a broad term used to referto several different types of systems. These types of systems can handle a wide range ofoperations within the organization. Consequently this will have an impact on differentoperations within the organization. The main aim of this study was to create a betterunderstanding regarding the impact of decision support systems on the various operationswithin the City Council's procurement units which in turn will increase effectiveness.

This essay takes the three models from Allison and Zelikow book Essence of decision and applies them on the Swedish defense system. After the cold war the Swedish defense system had to undergo changes to be a more modern defense and be able to defend Sweden against threats. To also be able to cooperate with other countries in peacekeeping operations the Swedish defense had to be reorganized. The solution was to change direction from a defense system that was organized for invasion to instead be a movable defense ready for any challenge in Sweden or abroad. This reorganization will be analyzed according to the three different models..

This paper has bearing on the subject of foreign policy analysis and decision-making,but is nonetheless important to peace and conflict studies due to its emphasis onnuclear weapons and deterrence.I have constructed a theoretical framework for the analysis of foreign policydecision-making that I set out to test on a crucial case. The framework iscrosscutting, and takes into consideration four levels of analysis: the system-,regional-, state-, and individual level. It is centred on a key decision maker, andapplies a cognitive approach for determining his or hers belief system through whichthe inputs from the other levels are filtered in order for the decision maker toconstruct a perception of reality, from which the decision is then formulated within.The framework is applied to North Korean and its leader Kim Jong Il. It sets outto explain his behaviour in the matter of their claimed nuclear weapons program, andhis decision to conduct a nuclear weapons-test, getting inside his head trying to figureout why he chose to do it and for what reasons.The conclusion indicates that the basic structure of the framework and its generalapplicability is sound, but that it needs further testing in order to make it perfectly solid..

This study aims to investigate the origin and the development of a certain type of decision phenomena, namely political decision chains. A political decision chain is defined as a seemingly rational decision being made, that is reverted through a new decision and this for other reasons than the original decision being regarded as having fulfilled its intended purpose. The essay attempts to explain the occurrence of these decision chains through a case study in order to thoroughly examine the complexities that surround political decisions overall. The essay concludes that uncontrollable factors and chance to a large extent affect the origin of these chains, allowing actors to change the political agenda according to their preferences. The relative weighting of these factors that is made by the actors, which exist within the decision chain, makes them underestimate the relative power of other actors that may have different preferences.

This case study aims to explore how decision making is performed under circumstances characterised by high uncertainty. We have identified and interviewed two types of organisations dealing with investments in pharmaceutical drug development, a business characterised by high uncertainty. We have found that the two types of organisations we have interviewed display different decision making behaviour evaluating the same type of investment. Further we have explained these differences in decision making behaviour by using relevant decision making theories. This study has showed that different forms of decision making are appropriate depending on the conditions facing the decision maker..

In 2008 the National Library of Sweden decided to give upClassification system for Swedish libraries and start using DDC(Dewey Decimal Classification) from January 1 2011. Thisdecision has influenced the whole Swedish library system and longbefore the National Library of Sweden took this decision thequestion had been thoroughly discussed and debated in Librariancircles.The aim of this thesis is to find out which arguments have beenintroduced in the debate, if the discussion has changed from beforethe decision to go over to DDC was taken to after wards, and if sohow it has changed. My thesis will discuss the following threequestions:? Which arguments were brought forward in the debate,both for and against a transition?? How has the debate about the Swedish libraries?transition from Classification system for Swedishlibraries to DDC changed from before the decision ofthe Royal Library was taken to after?? What conclusions can you draw from the debatewhich has been led about the transition to DDC?The empirical material consists of six articles dealing with thetransition to DDC and in the analysis of this material I have used atext analyses, analysis of. The analysis shows that more or less thesame arguments for and against have been used in practically allthe articles, and the debate has not changed very much.

Many researchers emphasize the increasing strategic importance of supply chain management, but there is still a lack of concrete guidance for managers faced with strategic decisions in supply chain. Within decision-making theories, the rational decision-making model is the most commonly used. This because of its suitable foundation, enabling a structure to the complex decision process. The rational decision-making model is today not developed to include the aspects of strategic decision-making made in supply chain. The purpose of this research is to adjust a structured rational decision-making model, making it applicable for strategic decision-making in supply chain.

In December 2004 an earthquake coursed waves that hit Thailand. Over 5000 people died, and Sweden was the tourist country that has been effected the worst. The catastrophe precipitated Sweden in crises and the demand became high for Swedish government to act. Swedes followed the development via media, why media became the crucial element for how the public perceived politicians? acting.

 Extra high requirements are made on all systems in health care that they are functional and usable,´something, however, that is not always the case. At Emergency Admissions at Sahlgrenska University´Hospital many systems are in use at the same time and it happens that much overhead is caused by having to fill in the same information in different places. In addition, data that is gathered is to a large extent saved in free text format, which means that it cannot be used in a larger context such as research, quality control or for decision support. Data is saved in the patient file only for the treatment process of the individual patient.A data collecting system with decision support functionality could be a first step towards reducing Emergency Admissions? costs and patients? waiting times by providing a structured method of data collection.

This study examined the factors influencing dairy farmers´ decisions to invest in automated milking systems (AMS). The problem studied involves uncertainty, information and complexity for dairy farmers in specific decision contexts. The frame of reference in the thesis combines contingency theory and decision theory and is used in a qualitative analysis of a set interview with dairy farmers who have recently bought an AMS and salespersons from Delaval, one of the AMS suppliers.The aim of this study is to develop an understanding of the decision making processes of dairy farmers, and in particular to identify which types of factors influence the outcome of an investment decision in the technological development of a farm.The study uses Thompsons` (1967) theory about the structure that organizations develop to handle the input of information. Thus, interest is focused on how a farm business structure handles information in the AMS decision, investigating the differences in information with Delaval?s "feed first principle" system and Lely?s "free cow traffic" system.The results of the qualitative interviews with the dairy farmers who bought an AMS show that there are three important factors that influence the outcome: employees, suppliers and the owner.

This paper investigates decision-making under uncertainty and complexity. The focus point of the study was to investigate how organizations in Stockholm has come to a decisions on how to manage the trial implementation of a congestion tax in terms of their company cars. The study was conducted as a survey with complementary interviews with the decision makers in change of congestion tax problem. The aim of the study was to gain an understanding for the decision making processes, and how and why the companies decided as they did. The theory on which we based our study emanated from both systems theory and business economic theory on decision making.

It is statutory that teachers shall document their student's development of knowledge in different subjects. The teachers employed by Sundbybergs municipality have been commissioned to do the documentation in the web-based electronic system Projekt- och Omdömesdatabasen, P.O.D.B. The purpose of this study was to investigate witch effect the IT-solution P.O.D.B has brought for the teachers in their task of student documentation. By conducting interviews and questionnaire studies I have been looking for answers to if the target achievements have increased by using the IT-solution, and if the teachers are aware of what they may or may not write about their students in the system. The conclusions I have been able to draw through my studies are that the teachers have accepted the commission to use P.O.D.B.

The purpose of this thesis is to analyze the construction of consensus in commune-collaborations. By a review of written material combined with elite interviews we have been able to follow the decision-making and the forming of consensus, in a commune-collaboration called NOSAM, in which they have decided to use consensus as a decision method. The thesis is based on a case study and we have decided to follow a specific issue that has been discussed for some time.We have created an instrument based on the ideal of deliberative democracy, through which we have been able to examine whether the decision-making in NOSAM can be described as a deliberative process or if consensus is formed by other incentives.The study shows that the decision-making in NOSAM cannot be described as a deliberative process, although there are some elements of deliberation. Consensus is formed in a proposition drawn up by the officials for the commune-representatives to agree on. Afterwards, the decision has to be brought up in each commune before reaching a final decision in NOSAM.Our opinion is that having consensus as the decision method leads to difficulties when deciding on bigger issues..