支持偏好敏感的决策时间表,以协助重症监护室的共享决策:需要和可能的应用
Beatrix Göcking1, Sophie Gloeckler1, Andrea Ferrario2,3
1Institute of Biomedical Ethics and History of Medicine, University of Zurich, Zurich, Switzerland.
Frontiers in digital health
|October 26, 2023
概括
制定偏好敏感的决策时间表对于重症监护病房至关重要. 这些时间表指导临床医生提取患者的偏好,并支持残疾患者的共享决策.
科学领域:
- 医学伦理 医学伦理
- 临床决策 - 临床决策
- 医疗信息学 医疗信息学
背景情况:
- 重症监护病房 (ICU) 在调整患者偏好与由于患者失能而导致的治疗方面存在挑战.
- 预先指示和代孕输入对于管理ICU治疗决策至关重要.
- 共享决策需要在整个治疗过程中意识到偏好敏感的时刻.
研究的目的:
- 检查偏好敏感的决策时间表的必要性.
- 提出一个模型时间表,以动脉瘤下关节出血为用例.
- 为了说明这些时间表的潜在价值和形式.
主要方法:
- 文献审查以确定在偏好诱导,预先指示和代孕准备方面的指导需求.
- 开发一个模型偏好敏感的决策时间表.
- 根据现有的指导方针和与患者,代孕产妇和神经-ICU临床医生的采访提供信息.
主要成果:
- 确定了临床医生指导何时引起患者偏好的关键需求.
- 展示了强调偏好敏感实例的价值,以共享决策和事先的护理规划.
- 提出了动脉瘤下arachnoid出血的模型时间表,展示了实际应用.
结论:
- 对偏好敏感的决策时间表对于改善ICU的共享决策至关重要.
- 这些时间表可以帮助临床医生,支持事先的护理计划,并准备代孕.
- 将其整合到数字工具中可以进一步提高其在临床实践中的实用性.
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