Decision Quality
Role
Decision quality degradation from sleep deprivation is particularly insidious because sleep-deprived individuals typically feel more confident in their decisions — the emotional risk-tolerance increase produced by sleep deprivation includes a subjective confidence boost that masks the underlying quality deterioration. This produces the dangerous combination most consequential in high-stakes professional and personal contexts: worse decisions made with greater confidence. The executive, investor, or physician making consequential decisions while sleep-deprived is not merely tired — they are in a neurologically altered state that specifically impairs the accuracy of the decisions they are making while simultaneously increasing their confidence in those decisions.