Wright B, et al. - Via conducting detailed semistructured interviews with 24 emergency physicians, including 10 from a hospital in the US Midwest, and 14 from 2 hospitals in central and northern England, researchers investigated how emergency physicians decide to use observation services, and how placing a patient under observation influences physicians’ subsequent decisionmaking. As per outcomes, decisionmaking is routinely performed by emergency physicians in a highly resource-constrained environment. Observation services can relax these constraints by providing physicians with additional time, but absent clear protocols and metacognitive reflection on physician practice patterns, this may hinder, rather than facilitate, decisionmaking.