ArticleAnnals of emergency medicine2017
Shared Decisionmaking in the Emergency Department: A Guiding Framework for Clinicians.
Article in Annals of emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
46 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Sex disparities in chlamydia and gonorrhea treatment in U.S. adult emergency departments: A systematic review and meta-analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Pooled it
- Pooled it
- 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 with the "Professionally-Driven Zone of Patient or Surrogate Discretion" Model and its Application in Acute Care.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
- Moving toward meaningful shared decision-making in neonatal care: clinical practice and policy implications in Korea.Clinical and experimental pediatrics · 2026Article
- Marginal Dispositions and Shared Decision-Making Among Older Adults in the ED: A Prospective Cohort Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Article
- Influence of non-clinical factors on emergency department decision-making: a Delphi study.BMC emergency medicine · 2025Article
- Cultural Adaptation and Acceptability of the Crisis Conversation Guide by Emergency Physicians for Serious Illness Patients: Mixed Methods Study.Journal of the Medical Association of Thailand = Chotmaihet thangphaet · 2025Article
- Subtle Differences in Physician Communication and Substantial Impacts on Patient Decision-Making About Low-Value Care: An Experimental Vignette Study.Journal of evaluation in clinical practice · 2025Article
- Non-clinical factors influencing discharge and admission decisions in the emergency department: a focus group study among Israeli physicians.BMC emergency medicine · 2025Article
- Physician Orders for Waiting Room Patients: Ethical Considerations.The western journal of emergency medicine · 2025Review
- Cognitive Frame and Time Pressure as Moderators Of Clinical Reasoning: A Case Control Study.The western journal of emergency medicine · 2025Article
- Saving Shared Decision-Making.Journal of general internal medicine · 2025Article
- Shared Decision-Making on Life-Sustaining Treatment: A Survey of Current Barriers in Practice Among Clinicians Across China.Healthcare (Basel, Switzerland) · 2025Article
- Patients' Attitudes Towards Integrating Environmental Sustainability Into Healthcare Decision-Making: An Interview Study.Health expectations : an international journal of public participation in health care and health policy · 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
- Characterizing Emergency Department Disposition Conversations for Persons Living With Dementia: Protocol for an Ethnographic Study.JMIR research protocols · 2024Article
- Areas of consensus on unwarranted and warranted transfers between nursing homes and emergency care facilities in Norway: a Delphi study.BMC health services research · 2024Article
- A qualitative study on informed consent decision-making at two tertiary hospitals in Uganda: Experiences of patients undergoing emergency surgery and their next of kin.SAGE open medicine · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
Shared decisionmaking has been proposed as a method to promote active engagement of patients in emergency care decisions. Despite the recent attention shared decisionmaking has received in the emergency medicine community, including being the topic of the 2016 Academic Emergency Medicine Consensus Conference, misconceptions remain in regard to the precise meaning of the term, the process, and the conditions under which it is most likely to be valuable. With the help of a patient representative and an interaction designer, we developed a simple framework to illustrate how shared decisionmaking should be approached in clinical practice. We believe it should be the preferred or default approach to decisionmaking, except in clinical situations in which 3 factors interfere. These 3 factors are lack of clinical uncertainty or equipoise, patient decisionmaking ability, and time, all of which can render shared decisionmaking infeasible. Clinical equipoise refers to scenarios in which there are 2 or more medically reasonable management options. Patient decisionmaking ability refers to a patient's capacity and willingness to participate in his or her emergency care decisions. Time refers to the acuity of the clinical situation (which may require immediate action) and the time that the clinician has to devote to the shared decisionmaking conversation. In scenarios in which there is only one medically reasonable management option, informed consent is indicated, with compassionate persuasion used as appropriate. If time or patient capacity is lacking, physician-directed decisionmaking will occur. With this framework as the foundation, we discuss the process of shared decisionmaking and how it can be used in practice. Finally, we highlight 5 common misconceptions in regard to shared decisionmaking in the ED. With an improved understanding of shared decisionmaking, this approach should be used to facilitate the provision of high-quality, patient-centered emergency care.
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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.