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（由适用提供）：在十字路口中可以为任何患者达成最佳决策的过程称为共享决策。根据知情医疗决策基金会的说法，共同的决策是“一个协作过程，允许患者及其提供者可以考虑可用的最佳科学证据以及患者的价值观和偏好的最佳科学证据”。尽管大量认可和对共同决策做出的研究，但对急诊科（ED）设置的工作很少。急诊医学中的共同决策有可能改善ED患者的质量，安全性和结果。由于ED是针对各种疾病和伤害患者的医疗服务的门户，因此ED共享决策与众多医疗保健学科有关。我们提出了一个详细的为期一天的会议，以定义和制定及时的研究议程。 2016年学术急诊医学（AEM）共识会议“在急诊科中共享决策：以政策为中心的以患者为中心的研究议程”有助于填补这一空白。 AEM已成功赞助了15个以前的共识会议，这些共识将重点介绍急诊医学关键主题的实践和研究。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，这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，以制定研究议程，以制定急性护理中共享决策的研究议程。具体来说，会议将包括患者，来自国家倡导组织的患者，急诊医生，护士以及具有共同决策，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的专业知识的研究人员。本次会议的具体目的是：1）批判性地检查有关急诊医学共同决策的科学状况，并确定知识和方法论的机会，局限性和差距； 2）制定一份共识声明，该声明优先考虑共享决策的研究机会，以改变实践，并确定最有效的方法论方法； 3）在患者，研究人员和其他主要利益相关者之间识别并建立合作研究网络，以使用以患者为中心的护理模型来研究在急诊医学中使用共同决策的使用，这将使联邦资金具有竞争力。

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