Translating and Implementing Evidence-Based Care in the ICU

摘要

One of the greatest challenges for modern medicine is translating the vast and ever-growing evidence base from efficacy studies into clinical practice. For complex clinical interventions, such as enhancing family communication or decision making, the journey from evidence to better care delivery is even more difficult. Guidelines and statements over the past few years from critical care professional societies1–5 have strongly emphasized communication with families, citing emerging data that improved family communication benefits care and family outcomes. However, provider-family communication has been shown to be deficient, as the authors of a concise clinical review in this issue of CHEST (see page 835)6 expertly summarize.7–10 Curtis and White6 further review the emerging evidence base for clinician-family communication in the ICU, and present novel strategies and tools to implement best practices.6