ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2016
Perceived Appropriateness of Shared Decision-making in the Emergency Department: A Survey Study.
Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Shared Decision Making for Syncope in the Emergency Department: A Randomized Controlled Feasibility Trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020Trial
- Shared Decision-Making on Life-Sustaining Treatment: A Survey of Current Barriers in Practice Among Clinicians Across China.Healthcare (Basel, Switzerland) · 2025Article
- Challenges in the Literature Around Context-Sensitive Implementation of Shared Decision Making in Emergency Medicine: A Scoping Review.Open access emergency medicine : OAEM · 2025Review
- Article
- Prospective application of the interdisciplinary bedside rounding checklist 'TEMP' is associated with reduced infections and length of hospital stay.BMJ open quality · 2022Review
- Clinicians' perspectives on the implementation of patient decision aids in the emergency department: A qualitative interview study.Journal of the American College of Emergency Physicians open · 2022Article
- Impact of High-Deductible Health Plans on Emergency Department Patients With Nonspecific Chest Pain and Their Subsequent Care.Circulation · 2021Article
- High-deductible health plans and low-value imaging in the emergency department.Health services research · 2021Article
- What are the clinical effects of the different emergency department imaging options for suspected renal colic? A scoping review.Journal of the American College of Emergency Physicians open · 2021Article
- Qualitative Examination of Shared Decision-Making in Canada's Largest Health System: More Work to be Done : Shared Decision-Making-More Work to be Done.Journal of patient experience · 2021Article
- Shared Decision Making for the Emergency Provider: Engaging Patients When Seconds Count.MedEdPORTAL : the journal of teaching and learning resources · 2020Article
- Shared Decision Making in Patients With Suspected Uncomplicated Ureterolithiasis: A Decision Aid Development Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020Article
- Thromboprophylaxis in lower limb immobilisation after injury (TiLLI).Emergency medicine journal : EMJ · 2020Review
- Association of Patient and Visit Characteristics With Rate and Timing of Urologic Procedures for Patients Discharged From the Emergency Department With Renal Colic.JAMA network open · 2019Article
- Article
- Patient Preferences Regarding Shared Decision Making in the Emergency Department: Findings From a Multisite Survey.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2018Article
- A Qualitative Analysis of Patients' Perceptions of Shared Decision Making in the Emergency Department: "Let Me Know I Have a Choice".Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2018Article
- Development of a Patient Decision Aid for Syncope in the Emergency Department: the SynDA Tool.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2018Article
- Addressing overuse in emergency medicine: evidence of a role for greater patient engagement.Clinical and experimental emergency medicine · 2017Review
- Shared Decisionmaking in the Emergency Department: A Guiding Framework for Clinicians.Annals of emergency medicine · 2017Article
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Authors and funding
7 authors.
Funding
Abstract
objectivesThe objective was to describe perceptions of practicing emergency physicians (EPs) regarding the appropriateness and medicolegal implications of using shared decision-making (SDM) in the emergency department (ED).
methodsWe conducted a cross-sectional survey of EPs at a large, national professional meeting to assess perceived appropriateness of SDM for different categories of ED management (e.g., diagnostic testing, treatment, disposition) and in common clinical scenarios (e.g., low-risk chest pain, syncope, minor head injury). A 21-item survey instrument was iteratively developed through review by content experts, cognitive testing, and pilot testing. Descriptive and multivariate analyses were conducted.
resultsWe approached 737 EPs; 709 (96%) completed the survey. Two-thirds (67.8%) of respondents were male; 51% practiced in an academic setting and 44% in the community. Of the seven management decision categories presented, SDM was reported to be most frequently appropriate for deciding on invasive procedures (71.5%), computed tomography (CT) scanning (56.7%), and post-ED disposition (56.3%). Among the specific clinical scenarios, use of thrombolytics for acute ischemic stroke was felt to be most frequently appropriate for SDM (83.4%), followed by lumbar puncture to rule out subarachnoid hemorrhage (73.8%) and CT head for pediatric minor head injury (69.9%). Most EPs (66.8%) felt that using and documenting SDM would decrease their medicolegal risk while a minority (14.2%) felt that it would increase their risk.
conclusionsAcceptance of SDM among EPs appears to be strong across management categories (diagnostic testing, treatment, and disposition) and in a variety of clinical scenarios. SDM is perceived by most EPs to be medicolegally protective.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.