Aligning critical care interventions with patient goals: A modified Delphi study

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)517-524
Number of pages8
JournalHeart and Lung: Journal of Acute and Critical Care
Volume45
Issue number6
DOIs
StatePublished - Nov 1 2016

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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

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