Background: There is controversy about how to manage requests by patients or surrogates
for treatments that clinicians believe should not be administered. Purpose: This multisociety …

Objectives: The Society of Critical Care Medicine and four other major critical care
organizations have endorsed a seven-step process to resolve disagreements about …

We surveyed a national sample of 879 physicians practicing in adult intensive care units in
the United States, in order to determine their practices with regard to limiting life-sustaining …

OBJECTIVE: To determine the incidence and nature of interpersonal conflicts that arise
when patients in the intensive care unit are considered for limitation of life-sustaining …

Shared decision-making is a central component of patient-centered care in the intensive
care unit (ICU)(1–4); however, there remains confusion about what shared decision-making …

Objectives: To present a case of conflict over end-of-life care in the intensive care unit (ICU)
and to describe how such conflicts have been resolved in the United States since the …

Objectives: Shared decision making is endorsed by critical care organizations; however,
there remains confusion about what shared decision making is, when it should be used, and …

Humans have only a limited ability to incorporate information in decision making. In certain
situations, the mismatch between this limitation and the availability of extensive information …

Rationale: The high costs of health care in the United States and other developed nations
are attributable, in part, to overuse of tests, treatments, and procedures that provide little to …

Purpose: Using sensitivity analysis to estimate the impact, in terms of patient lives, of the
failure to use proven therapies known to reduce mortality in critically ill intensive care unit …