Consistency of nurses' daily predictions of survival in the intensive care.
Stud Health Technol Inform
; 180: 1060-4, 2012.
Article
en En
| MEDLINE
| ID: mdl-22874356
ABSTRACT
In the Intensive Care Unit, clinicians are continuously faced with the difficult task of prognosis, but their predictions of patient survival status may not always be consistent. Specifically very little is known about consistency of predictions over time. The aim of this paper is to assess the consistency of nurses' daily predictions of survival in terms of inter-observer variance and variance of observers over time. We found a low consistency of these predictions between observers and over time, even though changes in the patients' condition are considered. Our findings have implications to the process of end-of-life decision-making, which pertains to withholding or withdrawing intensive care treatment.
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Bases de datos:
MEDLINE
Asunto principal:
Sobrevida
/
Diagnóstico de Enfermería
/
Análisis de Supervivencia
/
Sistemas de Registros Médicos Computarizados
/
Cuidados Críticos
/
Registros de Salud Personal
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Stud Health Technol Inform
Asunto de la revista:
INFORMATICA MEDICA
/
PESQUISA EM SERVICOS DE SAUDE
Año:
2012
Tipo del documento:
Article
País de afiliación:
Países Bajos