Show threadJack Iwashyna 🫁Nov 27, 2022

Another #AlisonTurnbull paper I missed:

https://pubmed.ncbi.nlm.nih.gov/29902555/

Inter-Rater Agreement of Intensivists Evaluating the Goal Concordance of Preference-Sensitive #ICU Interventions [via chart-review]

I might summarize as 💩

"Percent agreement between pairs of raters ranged from 59% to 86%. The intraclass correlation coefficient for ratings of goal concordance was 0.50 (95% CI 0.31-0.69) and was robust to patient age, gender, ICU, severity of illness, and lengths of stay"

#EOL #palliativecare

Inter-Rater Agreement of Intensivists Evaluating the Goal Concordance of Preference-Sensitive ICU Interventions - PubMed

Inter-rater agreement between intensivists using a standardized methodology to evaluate the goal concordance of preference-sensitive ICU interventions was moderate. Further testing is needed before this methodology can be recommended as a clinical research outcome.

PubMed
Show threadJack Iwashyna 🫁Nov 27, 2022
and had I realized #AlisonTurnbull had written cool stuff as well with @gbosslet and #MollyHayes, both of whom I adore? No, I had not
Jack Iwashyna 🫁Nov 27, 2022

May 2020 from #AlisonTurnbull #HopkinsPCCM so I know why I missed it, but...

"Physician Self-assessment of #SharedDecisionMaking in Simulated Intensive Care Unit Family Meetings"

"33 participants (43%) reported that they offered care focused on comfort, but blinded colleagues rated only 1 (4%) as explaining this option in a clear manner"

https://pubmed.ncbi.nlm.nih.gov/32427323/

#argh #ICU #EOL #palliativecare

Physician Self-assessment of Shared Decision-making in Simulated Intensive Care Unit Family Meetings - PubMed

In this study, guidelines for shared decision-making and end of life care were interpreted by intensivists in disparate ways. In the absence of training or personalized feedback, self-assessment of communication skills may not be interpreted consistently.

PubMed
Jack Iwashyna 🫁Nov 23, 2022

Should I consider rescheduling a plane flight to Seattle just to hear #VitaIncerta #AlisonTurnbull?

#JohnsHopkins #ICU #Paitents #ICUrehab