Related Experiment Video
Updated: Dec 22, 2025

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
Bundled Consent in US Intensive Care Units
Maria L Espinosa1, Aaron M Tannenbaum1, Megha Kilaru1
1Maria L. Espinosa is a medical student at the University of Chicago Pritzker School of Medicine, Chicago, Illinois. Aaron M. Tannenbaum is a fellow at the Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; a resident in the Department of Medicine, University of Chicago; and a clinical ethics fellow at the MacLean Center for Clinical Medical Ethics, University of Chicago. Megha Kilaru is a research associate at the Center for Healthcare Delivery Science and Innovation, University of Chicago Medicine. Jennifer Stevens is a physician and director of the Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, Massachusetts. Mark Siegler is a physician in the Department of Medicine, University of Chicago, and founding director of the MacLean Center for Clinical Medical Ethics. Michael D. Howell is founder of the Center for Healthcare Delivery Science and Innovation, University of Chicago Medicine; a physician in the Department of Medicine, University of Chicago; and a principal scientist at Google AI, Google, LLC, Mountain View, California. William F. Parker is a physician in the Department of Medicine, University of Chicago, and a clinical ethics fellow at the MacLean Center for Clinical Medical Ethics.
Bundled consent for intensive care unit procedures is uncommon nationally. While it improves informed consent, its adoption is low, with many providers interested in learning more.
Area of Science:
- Medical Ethics
- Intensive Care Medicine
- Health Services Research
Background:
- Bundled consent streamlines informed consent for intensive care unit (ICU) procedures.
- It aims to increase patient wishes incorporation without compromising understanding.
Purpose of the Study:
- To assess the national prevalence of bundled consent in US adult ICUs.
- To understand provider opinions on bundled consent.
Main Methods:
- A survey was distributed to ICU providers in a random sample of US hospitals.
- Data collected included bundled consent use, consent rates, and opinions.
Main Results:
- Bundled consent use was reported by 15% of surveyed ICUs.
- Per-procedure consent was associated with higher rates of procedures performed without consent.
- Bundled consent users strongly recommended the practice.
Conclusions:
- Bundled consent adoption in ICUs remains low.
- Further research is needed to compare patient, surrogate, and provider preferences for bundled versus per-procedure consent.
More Related Videos
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
09:57A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Related Concept Videos
Standards of Care II
Acute Coronary Syndrome IV: Interprofessional Care
Standards of Care I
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Nurses' Legal Responsibilities I
The legal responsibilities of a nurse regarding informed consent include the following:
Aneurysm III: Interprofessional Care