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Chapter 1 - Shared Decision Making

Published online by Cambridge University Press:  14 November 2024

David M. Greer
Affiliation:
Boston University School of Medicine and Boston Medical Center
Neha S. Dangayach
Affiliation:
Icahn School of Medicine at Mount Sinai and Mount Sinai Health System
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Summary

Shared decision making (SDM) is a collaborative process that allows patients, or their surrogates, and clinicians to make healthcare decisions together, taking into account the best scientific evidence available, as well as the patient’s values, goals, and preferences. This definition of SDM proposed by the Informed Medical Decisions Foundation [1] was endorsed by the American College of Critical Care Medicine (ACCM) and the American Thoracic Society (ATS) (Figure 1.1). Informed medical decision making may be used synonymously with SDM.[2] Critically ill patients may be too unstable or otherwise incapacitated (e.g., due to intubation, sedation), and may not be able to speak for themselves.

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Publisher: Cambridge University Press
Print publication year: 2024

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