Critical care medicine
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Critical care medicine · Aug 2003
Multicenter Study Clinical Trial Controlled Clinical TrialResults of a clinical trial on care improvement for the critically ill.
To develop, deploy, and evaluate an intervention designed to identify and mitigate conflict in decision making in the intensive care unit. ⋯ Although there was no impact on patient or surrogate satisfaction with care provided in the intensive care unit, the intervention did facilitate deliberative decision making in cases deemed at high risk for conflict. The lessons learned from the experience with this intervention should be helpful in ongoing efforts to improve care and to achieve outcomes desired by critically ill patients, their families, and critical care clinicians.