FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2945231007> ?p ?o ?g. }

• W2945231007 endingPage "65" @default.
• W2945231007 startingPage "56" @default.
• W2945231007 abstract "Decisions about whether to refer or admit a patient to an intensive care unit (ICU) are clinically, organizationally, and ethically challenging. Many explicit and implicit factors influence these decisions, and there is substantial variability in how they are made, leading to concerns about access to appropriate treatment for critically ill patients. There is currently no guidance to support doctors making these decisions. We developed an intervention with the aim of supporting doctors to make more transparent, consistent, patient-centred, and ethically justified decisions. This paper reports on the implementation of the intervention at three NHS hospitals in England and evaluates its feasibility in terms of usage, acceptability, and perceived impact on decision making.A mixed method study including quantitative assessment of usage and qualitative interviews.There was moderate uptake of the framework (28.2% of referrals to ICU across all sites during the 3-month study period). Organizational structure and culture affected implementation. Concerns about increased workload in the context of limited resources were obstacles to its use. Doctors who used it reported a positive impact on decision making, with better articulation and communication of reasons for decisions, and greater attention to patient wishes. The intervention made explicit the uncertainty inherent in these decisions, and this was sometimes challenging. The patient and family information leaflets were not used.While it is feasible to implement an intervention to improve decision making around referral and admission to ICU, embedding the intervention into existing organizational culture and practice would likely increase adoption. The doctor-facing elements of the intervention were generally acceptable and were perceived as making ICU decision making more transparent and patient-centred. While there remained difficulties in articulating the clinical reasoning behind some decisions, the intervention offers an important step towards establishing a more clinically and ethically sound approach to ICU admission." @default.
• W2945231007 created "2019-05-29" @default.
• W2945231007 creator A5010336667 @default.
• W2945231007 creator A5015412906 @default.
• W2945231007 creator A5015720603 @default.
• W2945231007 creator A5021333985 @default.
• W2945231007 creator A5039076469 @default.
• W2945231007 creator A5041991433 @default.
• W2945231007 creator A5050958004 @default.
• W2945231007 creator A5073093105 @default.
• W2945231007 date "2019-05-17" @default.
• W2945231007 modified "2023-10-10" @default.
• W2945231007 title "Implementing an intervention to improve decision making around referral and admission to intensive care: Results of feasibility testing in three NHS hospitals" @default.
• W2945231007 cites W1964143014 @default.
• W2945231007 cites W1969625656 @default.
• W2945231007 cites W1978689281 @default.
• W2945231007 cites W1982716358 @default.
• W2945231007 cites W1984394603 @default.
• W2945231007 cites W2010931290 @default.
• W2945231007 cites W2015769833 @default.
• W2945231007 cites W2025282668 @default.
• W2945231007 cites W2033266691 @default.
• W2945231007 cites W2034174103 @default.
• W2945231007 cites W2049330435 @default.
• W2945231007 cites W2054103341 @default.
• W2945231007 cites W2059998071 @default.
• W2945231007 cites W2062871960 @default.
• W2945231007 cites W2081820469 @default.
• W2945231007 cites W2083914467 @default.
• W2945231007 cites W2086412578 @default.
• W2945231007 cites W2103428320 @default.
• W2945231007 cites W2110603783 @default.
• W2945231007 cites W2112252085 @default.
• W2945231007 cites W2122402281 @default.
• W2945231007 cites W2123377387 @default.
• W2945231007 cites W2130916207 @default.
• W2945231007 cites W2133674686 @default.
• W2945231007 cites W2134593687 @default.
• W2945231007 cites W2136611546 @default.
• W2945231007 cites W2138648640 @default.
• W2945231007 cites W2138664283 @default.
• W2945231007 cites W2155621305 @default.
• W2945231007 cites W2162294722 @default.
• W2945231007 cites W2170704862 @default.
• W2945231007 cites W2333195830 @default.
• W2945231007 cites W2466660681 @default.
• W2945231007 cites W2535269105 @default.
• W2945231007 cites W2545846385 @default.
• W2945231007 cites W2585890957 @default.
• W2945231007 cites W2764025525 @default.
• W2945231007 cites W2765496044 @default.
• W2945231007 cites W2945231007 @default.
• W2945231007 cites W4250431025 @default.
• W2945231007 doi "https://doi.org/10.1111/jep.13167" @default.
• W2945231007 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7003751" @default.
• W2945231007 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31099118" @default.
• W2945231007 hasPublicationYear "2019" @default.
• W2945231007 type Work @default.
• W2945231007 sameAs 2945231007 @default.
• W2945231007 citedByCount "9" @default.
• W2945231007 countsByYear W29452310072019 @default.
• W2945231007 countsByYear W29452310072020 @default.
• W2945231007 countsByYear W29452310072021 @default.
• W2945231007 countsByYear W29452310072022 @default.
• W2945231007 countsByYear W29452310072023 @default.
• W2945231007 crossrefType "journal-article" @default.
• W2945231007 hasAuthorship W2945231007A5010336667 @default.
• W2945231007 hasAuthorship W2945231007A5015412906 @default.
• W2945231007 hasAuthorship W2945231007A5015720603 @default.
• W2945231007 hasAuthorship W2945231007A5021333985 @default.
• W2945231007 hasAuthorship W2945231007A5039076469 @default.
• W2945231007 hasAuthorship W2945231007A5041991433 @default.
• W2945231007 hasAuthorship W2945231007A5050958004 @default.
• W2945231007 hasAuthorship W2945231007A5073093105 @default.
• W2945231007 hasBestOaLocation W29452310071 @default.
• W2945231007 hasConcept C111919701 @default.
• W2945231007 hasConcept C151730666 @default.
• W2945231007 hasConcept C159110408 @default.
• W2945231007 hasConcept C177713679 @default.
• W2945231007 hasConcept C2776135927 @default.
• W2945231007 hasConcept C2776376669 @default.
• W2945231007 hasConcept C2778476105 @default.
• W2945231007 hasConcept C2779343474 @default.
• W2945231007 hasConcept C2780665704 @default.
• W2945231007 hasConcept C41008148 @default.
• W2945231007 hasConcept C71924100 @default.
• W2945231007 hasConcept C86803240 @default.
• W2945231007 hasConceptScore W2945231007C111919701 @default.
• W2945231007 hasConceptScore W2945231007C151730666 @default.
• W2945231007 hasConceptScore W2945231007C159110408 @default.
• W2945231007 hasConceptScore W2945231007C177713679 @default.
• W2945231007 hasConceptScore W2945231007C2776135927 @default.
• W2945231007 hasConceptScore W2945231007C2776376669 @default.
• W2945231007 hasConceptScore W2945231007C2778476105 @default.
• W2945231007 hasConceptScore W2945231007C2779343474 @default.
• W2945231007 hasConceptScore W2945231007C2780665704 @default.
• W2945231007 hasConceptScore W2945231007C41008148 @default.
• W2945231007 hasConceptScore W2945231007C71924100 @default.

• next