Abstract
Objective To develop a list of non-emergent, potentially harmful interventions commonly performed in ICUs that require a clear understanding of patients' treatment goals. Background A 2016 policy statement from the American Thoracic Society and American College of Critical Care Medicine calls on intensivists to engage in shared decision-making when “making major treatment decisions that may be affected by personal values, goals, and preferences.” Methods A three-round modified Delphi consensus process was conducted via a panel of 6 critical care physicians, 6 ICU nurses, 6 former ICU patients, and 6 family members from 6 academic and community-based medical institutions in the U.S. mid-Atlantic region. Results Recommendations about 8 interventions achieved consensus among respondents. Conclusions Clinical and patient/family participants in a modified Delphi consensus process were able to identify preference-sensitive decisions that should trigger clinicians to clarify patient goals and consider initiating shared decision-making.
Original language | English (US) |
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Pages (from-to) | 517-524 |
Number of pages | 8 |
Journal | Heart and Lung: Journal of Acute and Critical Care |
Volume | 45 |
Issue number | 6 |
DOIs | |
State | Published - Nov 1 2016 |
Keywords
- Clinical decision-making
- Critical care
- Decision-making
- Delphi technique
- Life-sustaining treatments
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
- Critical Care and Intensive Care Medicine
- Cardiology and Cardiovascular Medicine