神经重症监护中的共同决策制定
Shared Decision Making in Neurocritical Care.
作者信息
Khan Muhammad Waqas, Muehlschlegel Susanne
机构信息
Department of Neurology, University of Massachusetts Medical School, 55 Lake Avenue North, S-5, Worcester, MA 01655, USA.
Department of Neurology, University of Massachusetts Medical School, 55 Lake Avenue North, S-5, Worcester, MA 01655, USA; Department of Surgery, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA; Department of Anesthesiology/Critical Care, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
出版信息
Neurosurg Clin N Am. 2018 Apr;29(2):315-321. doi: 10.1016/j.nec.2017.11.009.
Abstract
Shared decision making is a collaborative decision-making process between health care providers and patients or their surrogates, taking into account the best scientific evidence available while considering the patient's values, goals, and preferences. Decision aids are tools enabling SDM. This article discusses shared decision making in general and in the intensive care unit in particular and facilitators and barriers for the creation and implementation of International Patient Decision Aids Standards Collaboration-compliant decision aids for the intensive care unit and neuro-intensive care unit.
摘要
共同决策是医疗服务提供者与患者或其代理人之间的协作决策过程，在考虑患者的价值观、目标和偏好的同时，兼顾现有的最佳科学证据。决策辅助工具是有助于共同决策的工具。本文将总体讨论共同决策，特别是在重症监护病房中的共同决策，以及为重症监护病房和神经重症监护病房创建和实施符合国际患者决策辅助工具标准协作的决策辅助工具的促进因素和障碍。
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