ArticleJournal of the Intensive Care Society2018
Intensive care decision-making: Identifying the challenges and generating solutions to improve inter-specialty referrals to critical care.
Article in Journal of the Intensive Care Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Teaching common cognitive biases and associated errors in veterinary neurologic diagnosis using clinical vignettes: a narrative review.Frontiers in veterinary science · 2026Review
- Systemic Strategies to Prevent Nonbeneficial Treatments Near the End of Life.JAMA network open · 2025Article
- Article
- Clinical characteristics and outcome of critically ill children referred to a tertiary hospital in Indonesia: a prospective observational study.BMC pediatrics · 2024Observational
- Intensive Care Residents' Views Regarding Ethical Issues and Practices.Medical science monitor : international medical journal of experimental and clinical research · 2022Article
- Perceived stress and post-traumatic stress disorder symptoms among intensive care unit staff caring for severely ill coronavirus disease 2019 patients during the pandemic: a national study.Annals of general psychiatry · 2021Article
- Physicians' Views and Agreement about Patient- and Context-Related Factors Influencing ICU Admission Decisions: A Prospective Study.Journal of clinical medicine · 2021Article
- Designing a bed-side system for predicting length of stay in a neonatal intensive care unit.Scientific reports · 2021Article
- Assessing ethical climates in critical care and their impact on patient outcomes.Breathe (Sheffield, England) · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDecision-making regarding admission to UK intensive care units is challenging. Demand for beds exceeds capacity, yet the need to provide emergency cover creates pressure to build redundancy into the system. Guidelines to aid clinical decision-making are outdated, resulting in an over-reliance on professional judgement. Although clinicians are highly skilled, there is variability in intensive care unit decision-making, especially at the inter-specialty level wherein cognitive biases contribute to disagreement.
methodThis research is the first to explore intensive care unit referral and admission decision-making using the Critical Decision Method interviewing technique. We interviewed intensive care unit (
resultsWe present: (i) a description of the referral pathway; (ii) challenges that appear to derail referrals (i.e. process issues, decision biases, inherent stressors, post-decision consequences) and (iii) potential solutions to improve this process. DISCUSSION: This research provides a foundation upon which interventions to improve inter-specialty decision-making can be based.
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