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

 描述（由申请人提供）：在十字路口为任何患者做出最佳决策的过程称为共同决策。根据知情医疗决策基金会的说法，共同决策是“一个协作过程，允许患者及其提供者共同做出医疗决策，同时考虑到现有的最佳科学证据以及患者的价值观和偏好”。尽管有大量的支持和研究共享的决策，很少的工作已经做了具体的急诊科（艾德）设置。急诊医学中的共同决策有可能提高艾德患者的质量、安全性和结局。由于艾德是患有各种疾病和损伤的患者获得医疗护理的门户，因此艾德共享决策制定与许多医疗保健学科相关。我们建议召开一次为期一天的详细会议，以确定和制定一个高优先级，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：制定政策相关的以患者为中心的研究议程”，预计将有助于填补这一空白。AEM已经成功地赞助了15个以前的共识会议，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的使命保持一致，以提高医疗保健的质量，安全性，效率和有效性，本次研究开发会议将召集主要思想领袖和必要的利益相关者，以制定一个研究议程，在急性护理中共同决策。具体而言，会议将包括患者，来自国家倡导组织的患者代表，急诊医生，护士和具有共同决策，以患者为中心的结果研究，比较有效性研究和健康信息技术专业知识的研究人员。本次会议的具体目标是：1）严格审查急诊医学共同决策的科学状况，并确定知识和方法的机会，限制和差距; 2）制定共识声明，优先考虑将改变实践的共同决策研究机会，并确定最有效的方法学方法;以及3）确定并建立患者、研究者和其他关键利益相关者之间的合作研究网络，以研究在急诊医学中使用共享决策，使用以患者为中心的护理模式，这将对联邦资金具有竞争力。

 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.