Unclear Trajectory and Uncertain Benefit: Creating a Lexicon for Clinical Uncertainty in Patients with Critical or Advanced Illness Using a Delphi Consensus Process
Question: What words do physicians caring for critically ill patients use to document clinical uncertainty, and why?Findings: A consensus list of 44 words or phrases was identified by a group of experts. Physicians expressed comfort with using these words in the electronic health record.Meaning: Physicians are comfortable with uncertainty words and document them frequently to convey the complexity and ambiguity that is pervasive in critical illness.
Authors
- Teva D. Brender (ORCID: https://orcid.org/0000-0002-2831-3039)
- Julien Cobert (ORCID: https://orcid.org/0000-0001-9971-7535)
- Hunter Mills
- Shannen Kim
- Krista L. Harrison (ORCID: https://orcid.org/0000-0001-5373-3011)
- David Bamman (ORCID: https://orcid.org/0009-0003-1171-9408)
- Alexander Kingsbury Smith (ORCID: https://orcid.org/0000-0002-9276-0861)
- S. Mcgowan (ORCID: https://orcid.org/0000-0003-0453-2648)
- Maria-Jose Corrales-Martinez
- Albert Lee (ORCID: https://orcid.org/0000-0001-5156-0567)
Institutions
- Cleveland Clinic (US)
- University of California, San Francisco (US)
- University of California, Berkeley (US)
Publication Details
- Journal
- Medical Decision Making
- Published
- 2024-11-19
- DOI
- https://doi.org/10.1177/0272989x241293446
- Primary Topic
- Clinical Reasoning and Diagnostic Skills
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Institutes of Health
- University of California, San Francisco
- National Institute on Aging