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Choosing Wisely in intensive care medicine

机译:明智地选择重症监护医学

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摘要

Intensive care medicine is a specialty in which the results are closely related to the ability to organize and work as a team. While technological advancements offer a wide variety of tests and a myriad of possible treatments and procedures for critically ill patients, this large arsenal of options is often misused, which in addition to not providing significant benefits to patients can cause unnecessary risk and harm. Based on these principles, the American Board of Internal Medicine Foundation (ABIM) began a campaign in 2012 to identify clinical practices that should be questioned to make physicians aware of the importance of using only interventions and procedures that are indicated for the patient and that do not put him or her at risk. For this purpose, a list of items considered most relevant to conscious decision-making was developed and was named . Since then, numerous medical societies around the world have started to make their lists to prompt discussions of and providing warnings about the main practices to be questioned and the importance of always using the utmost discernment. The following are considered basic principles of the campaign: it must be led by physicians, the choices should be patient-centered, there must be multi-professional participation, the campaign should be evidence-based, and the selection process must be transparent.
机译:重症监护医学是一个专业,其结果与组织和团队合作的能力密切相关。尽管技术进步为重症患者提供了各种各样的测试以及无数种可能的治疗方法和程序,但通常会滥用大量的选项,这不仅给患者带来了不小的好处,而且还可能导致不必要的风险和伤害。基于这些原则,美国内科医学委员会(ABIM)于2012年发起了一项运动,以识别应被质疑的临床实践,以使医师意识到仅使用针对患者的干预措施和程序的重要性,不要冒险。为此,制定并命名了一个清单,该清单被认为与有意识的决策最相关。从那时起,世界上许多医学学会开始列出自己的清单,以促使人们对要质疑的主要做法以及始终保持最大的谨慎的重要性进行讨论并提出警告。以下是运动的基本原则:运动必须由医生领导,选择应以患者为中心,必须有多专业人士参与,运动应以证据为基础,选择过程必须透明。

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