Search Tag: decision-making

ICU Management

Making Decisions During ICU Night Shifts: Challenges and Considerations

2020 11 Aug

We review the decision-making processes during night shifts focusing on the perspective of residents and fellows. We explore nighttime decisions about extubations, ICU discharge, withholding/withdrawing and night shift cross-coverage. T aking a night shift in the ICU can be challenging, particularly from a resident/fellow perspective.... Read more

ICU Management

Standards for Healthy Critical Care Work Environments Updated

2016 28 Mar

The American Association of Critical-Care Nurses (AACN) has announced the publication of the 2nd edition of its Standards for Establishing and Sustaining Healthy Work Environments . The standards, first published in 2005, identified previously discounted systemic behaviours that can result in unsafe conditions, and focus on the human factor. The Association... Read more

ICU Management

Avoiding Making Decisions for Sick Relatives May Lead to PTSD

2015 26 Jul

Family members who make major medical decisions for relatives in the ICU may suffer post-traumatic stress disorder (PTSD) if they cope by avoiding the situation, according to a new study published in Critical Care Medicine . Researchers say family members tasked with the difficult role of decision-maker are better off health-wise dealing with the experience;... Read more

ICU Management

Guidelines for Resolving ICU Treatment Disputes

2015 20 May

Care of the critically ill patient can become complicated when a clinician is asked by the patient's family to administer invasive interventions that the clinician believes will not benefit the patient. Resolving this kind of conflict and other issues concerning treatment of intensive care patients is the primary aim of a new policy statement from the... Read more

ICU Management

Sleep Loss Hinders Decision-Making in High-Risk Situations

2015 12 May

Results of a new study, reported in the journal Sleep , provide a new understanding of how sleep deprivation can lead doctors, first responders, military personnel and others in a crisis situation to make catastrophic decisions. For the first time, researchers at Washington State University created a laboratory experiment that simulates how sleep... Read more