Inter Professional Shared Clinical Decision Making Models in the ICU: Necessity to use

سال انتشار: 1394
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 434

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شناسه ملی سند علمی:

JR_IJMR-2-4_005

تاریخ نمایه سازی: 4 خرداد 1395

چکیده مقاله:

The Intensive Care Unit (ICU) is a paramount essential part of each hospital, which the most critically ill patients are treated andtaken care by the highest experienced physicians and nurses' with the most advanced equipment in an appropriate and adequatespace (1, 2). Those with different scopes of practice work more or less independently, in ways that might not best serve the needsof patients and their families (3). In such situations, lake of harmony, coordination, and consensus among the clinicians is themajor source of human error, which is the eighth leading cause of deaths in the ICU (4).The applying shared decision making models (SDMMs), is one of the saviors' approaches to harmonize and optimize thecoordination and communication among the clinicians and can prevent the dreaded and catastrophic human errors. Shareddecision making models have traditionally been understood to be the sharing of responsibility and control over medical decisionsbetween patients, families, nurses, and physicians (5) and from many years ago, the models were introduced in the developedcountries (6, 7).However, with many advantages and very minor disadvantages of SDMMs, the models remain in its infancy and significantlylag behind the progress made by developed countries in order to demonstrate the need for innovation. Furthermore, it should bestated why the models didn't get run in the developing countries and also, what the barriers and bridges of the commencing eraof the SDMMs in the countries are.

نویسندگان

Mohammadreza Hajiesmaeili

Loghman Clinical Research Development Center, Shahid Beheshti University of Medical Science (SBMU), Tehran, Iran

Amir Vahedian-

Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.