Development and Implementation of a Clinician-Facing Prognostic Communication Tool for Patients With COVID-19 and Critical Illness
Development and Implementation of a Clinician-Facing Prognostic Communication Tool for Patients With COVID-19 and Critical Illness
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DOI：
10.1016/j.jpainsymman.2020.05.005
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发表时间：
2020-08-01
影响因子：
4.7
通讯作者：
Curtis, J. Randall
中科院分区：
文献类型：
--
作者：
Gibbon, Lindsay M.;GrayBuck, Katherine E.;Curtis, J. Randall
对一种新疾病的有效预测提出了重大挑战，特别是考虑到大流行期间造成的压力。我们开发了一个即时护理工具，用于总结COVID-19危重患者的结果数据，并帮助指导临床医生进行周到的预测过程。两位作者回顾了关于COVID-19危重患者结局的研究，并根据现有数据创建了一个可视化信息图表工具。生存数据补充了最佳和最坏临床情况的描述。该工具还包括提示临床医生反思，旨在提高对可能影响预后准确性的认知偏差的认识。这个在线、开源的COVID-19预测工具已提供给我们机构的所有临床医生，并每周更新一次，以反映不断变化的数据。我们的COVID-19预测工具可以提供一种有用的方法，在整个医疗保健系统中促进一致和高质量的预后沟通。(C) 2020年美国临终关怀与姑息医学学会。Elsevier Inc.出版。版权所有。
Effective prognostication for a novel disease presents significant challenges, especially given the stress induced during a pandemic. We developed a point-of-care tool to summarize outcome data for critically ill patients with COVID-19 and help guide clinicians through a thoughtful prognostication process. Two authors reviewed studies of outcomes of patients with critical illness due to COVID-19 and created a visual infographic tool based on available data. Survival data were supplemented by descriptions of best- and worst-case clinical scenarios. The tool also included prompts for clinician reflection designed to enhance awareness of cognitive biases that may affect prognostic accuracy. This online, open-source COVID-19 Prognostication Tool has been made available to all clinicians at our institution and is updated weekly to reflect evolving data. Our COVID-19 Prognostication Tool may provide a useful approach to promoting consistent and high-quality prognostic communication across a health care system. (C) 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.