Inter Professional Shared Clinical Decision Making Models in the ICU: Necessity to use


1 Loghman Clinical Research Development Center, Shahid Beheshti University of Medical Science (SBMU), Tehran, Iran

2 Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

The Intensive Care Unit (ICU) is a paramount essential part of each hospital, which the most critically ill patients are treated and taken care by the highest experienced physicians and nurses' with the most advanced  equipment in an appropriate and adequate space (1, 2).  Those with different scopes of practice work more or less independently, in ways that might not best serve the needs of patients and their families (3). In such situations, lake of harmony, coordination, and consensus among the clinicians is the major source of human error, which is the eighth leading cause of deaths in the ICU (4). The  applying  shared  decision  making  models  (SDMMs),  is  one  of  the  saviors'  approaches  to  harmonize  and  optimize  the coordination  and  communication  among  the  clinicians  and  can  prevent  the  dreaded  and  catastrophic  human  errors.  Shared decision making models have traditionally been understood to be the sharing of responsibility and control over medical decisions between patients, families, nurses, and physicians (5) and from many years ago, the models were introduced in the developed countries... (Read more...)