2016 AEM Consensus Conference: Shared Decision Making in the Emergency Department: Development of a Policy-Relevant Patient-Centered Research Agenda

2016 年 AEM 共识会议：急诊科的共同决策：制定与政策相关的以患者为中心的研究议程

• 批准号: 8960615
• 负责人: Corita R Grudzen
• 金额: $ 3.5万
• 依托单位: SOCIETY FOR ACADEMIC EMERGENCY MEDICINE
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-30 至 2016-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8960615
• 关键词: 2016; AEM; Consensus; Conference; Shared

 DESCRIPTION (provided by applicant): The process by which the optimal decision may be reached for any patient at a crossroads is called shared decision making. According to the Informed Medical Decisions Foundation, shared decision making is "a collaborative process that allows patients and their providers to make healthcare decisions together, taking into account the best scientific evidence available, as well as the patient's values and preferences". Despite a wealth of endorsements and research on shared decision making, little work has been done specific to the emergency department (ED) setting. Shared decision making in emergency medicine has the potential to improve the quality, safety, and outcomes for ED patients. As the ED is the gateway to medical care for patients with a variety of illnesses and injuries, ED shared decision making is relevant to numerous healthcare disciplines. We propose a detailed one-day conference to define and develop a high-priority, timely research agenda. The 2016 Academic Emergency Medicine (AEM) consensus conference, "Shared Decision Making in the Emergency Department: Development of a Policy-Relevant Patient-Centered Research Agenda", is expected to help fill this void. AEM has successfully sponsored 15 previous consensus conferences focused on the intersection of practice and research around key topics in emergency medicine. Aligned with the mission of the Agency for Healthcare Research and Quality to improve the quality, safety, efficiency, and effectiveness of healthcare, this research development conference will convene major thought leaders and necessary stakeholders to develop a research agenda for shared decision making in acute care. Specifically, the conference will include patients, patient representatives from national advocacy organizations, emergency physicians, nurses, and researchers with expertise in shared decision making, patient-centered outcomes research, comparative effectiveness research, and health information technology. The specific aims of this conference are to: 1) critically examine the state of science on shared decision making in emergency medicine, and identify opportunities, limitations, and gaps in knowledge and methodology; 2) develop a consensus statement that prioritizes opportunities for research in shared decision making that will change practice, and identify the most effective methodological approaches; and 3) Identify and build collaborative research networks among patients, investigators, and other key stakeholders to study the use of shared decision making in emergency medicine using a patient-centered model of care that will be competitive for federal funding.

 描述(由申请人提供)：为处于十字路口的任何患者做出最佳决定的过程称为共享决策。根据知情医疗决策基金会的说法，共享决策是“一种协作过程，允许患者和他们的提供者一起做出医疗决策，考虑到可用的最佳科学证据，以及患者的价值观和偏好”。尽管有大量关于共享决策的支持和研究，但针对急诊科(ED)设置的工作却很少。共享急诊医学决策有可能改善ED患者的质量、安全性和预后。由于急诊科是为各种疾病和受伤的患者提供医疗护理的门户，因此，急诊科的共同决策与许多医疗保健学科有关。我们建议召开一次为期一天的详细会议，以确定和制定高度优先、及时的研究议程。2016年学术急诊医学(AEM)共识会议--“急诊科的共同决策：制定以患者为中心的政策研究议程”--有望帮助填补这一空白。AEM已经成功地赞助了15次此前的共识会议，重点是围绕急诊医学关键主题的实践和研究的交叉。与医疗保健研究和质量机构提高医疗保健的质量、安全、效率和有效性的使命相一致，本次研究发展会议将召集主要思想领袖和必要的利益相关者，为急性护理领域的共同决策制定研究议程。具体地说，会议将包括患者、来自国家倡导组织的患者代表、急诊医生、护士，以及在共享决策、以患者为中心的结果研究、比较有效性研究和卫生信息技术方面具有专业知识的研究人员。这次会议的具体目标是：1)对急诊医学共享决策的科学状况进行批判性研究，找出知识和方法中的机会、限制和差距；2)制定共识声明，优先考虑将改变实践的共享决策研究机会，并确定最有效的方法方法；3)确定和建立患者、研究人员和其他关键利益相关者之间的协作研究网络，以研究以患者为中心的护理模式在急诊医学中的使用，这种模式将竞争联邦资金。

项目成果

"From Tears to Transparency: A Conversation Can Change an Outcome. A Conversation Can Change a Life™ ": Reflections From Patient Advocates.

“从眼泪到透明：一次对话可以改变结果。一次对话可以改变生活™”：患者倡导者的反思。

• DOI: 10.1111/acem.13046
• 发表时间: 2016
• 期刊: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
• 作者: WrightNéeBlackwell,Rebecca;Skolnik,PatriciaJ;Skolnik,DavidM;Grudzen,Corita
• 通讯作者: Grudzen,Corita

Funding Research in Emergency Department Shared Decision Making: A Summary of the 2016 Academic Emergency Medicine Consensus Conference Panel Discussion.

资助急诊科共享决策研究：2016 年学术急诊医学共识会议小组讨论摘要。

• DOI: 10.1111/acem.13063
• 发表时间: 2016
• 期刊: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
• 作者: Dodd,KennethW;Berman,Amy;Brown,Jeremy;Carr,BrendanG;Dunn,Patrick;Escobedo,Marcus;Gayer,Christopher;Grieser,Mira;Carpenter,ChristopherR;Hess,ErikP;Grudzen,CoritaR
• 通讯作者: Grudzen,CoritaR