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Related Experiment Video

Updated: Sep 6, 2025

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
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Shared decision-making for ICDs: a regional collaborative initiative.

Honey Thomas1, Mark Lambert2, Chris Plummer3

  • 1Consultant Cardiologist, Northumbria Healthcare NHS Foundation Trust, Wansbeck General Hospital, Ashington, NE63 9JJ.

The British Journal of Cardiology
|June 24, 2022
PubMed
Summary
This summary is machine-generated.

Implementing shared decision-making (SDM) for implantable cardioverter-defibrillator (ICD) implantation is practical. This UK pilot project developed a novel SDM tool, demonstrating its deliverability for improving patient engagement in primary prevention decisions.

Keywords:
decision support techniquesimplantable defibrillatorsshared decision-making

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Area of Science:

  • Health Services Research
  • Clinical Decision-Making
  • Medical Device Implementation

Background:

  • National Institute for Health and Care Excellence (NICE) and NHS England promote shared decision-making (SDM) and patient engagement in healthcare.
  • Enhancing patient involvement in healthcare decisions is believed to improve intervention benefits, particularly for cost-effective interventions like implantable cardioverter-defibrillators (ICDs).

Purpose of the Study:

  • To improve decision-making processes for primary prevention implantable cardioverter-defibrillator (ICD) implantation.
  • To develop and implement a novel shared decision-making (SDM) tool within a regional healthcare setting.

Main Methods:

  • A collaborative project involving NHS England and ICD implanters in Northern England.
  • Development of a unique SDM tool for primary prevention ICD decisions.
  • Training and education provided to clinical teams on utilizing the SDM tool.

Main Results:

  • The project successfully demonstrated a practical and deliverable approach to embedding SDM in clinical practice.
  • A novel SDM tool was developed and implemented, representing a first for the UK in this context.
  • The collaborative approach facilitated improved decision-making around ICD implantation.

Conclusions:

  • The implemented SDM approach is practical and deliverable for improving patient engagement in primary prevention ICD decisions.
  • This model can be applied to other regions and clinical areas requiring enhanced patient involvement.
  • The project highlights the feasibility of developing and integrating bespoke SDM tools into routine clinical practice.