Shared decision making in emergency medicine

Le résumé fourni par la source

Abstract Shared decision making (SDM) in the emergency department may be appropriate for diagnosis, treatment, and hospitalization decisions. The challenge lies in balancing the risks and benefits of overtesting or undertesting, considering the patient’s values and expectations, and communicating the uncertainty and probability of the diagnosis or effectiveness of the treatment. Examples of the use of SDM in the emergency department include risk stratification of chest pain, deciding on imaging for children with head trauma, whether to use antibiotics for otitis media, medication options for acute pain management, intubation and mechanical ventilation in older adults, and hospitalization decisions in conditions like syncope or dementia. Emergency departments have a unique position within the healthcare system and serve as a safety net for vulnerable patients, regardless of their race, ethnicity, religion, country of origin, sexual orientation, socioeconomic status, or medical diagnosis. SDM has not been widely implemented in emergency medicine, and there are several barriers to its adoption. Research is needed to demonstrate its effectiveness on patient outcomes and healthcare utilization.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.