title: Shared Decision Making to Improve the Emergency Care of Older Adults: A Research Agenda.
abstract: Older emergency department patients have high rates of serious illness and injury, are at high risk for side effects and adverse events from treatments and diagnostic tests, and in many cases, have nuanced goals of care in which pursuing the most aggressive approach is not desired. Although some forms of shared decision making (SDM) are commonly practiced by emergency physicians caring for older adults, broader use of SDM in this setting is limited by a lack of knowledge of the types of patients and conditions for which SDM is most helpful and the approaches and tools that can best facilitate this process. We describe a research agenda to generate new knowledge to optimize the use of SDM during the emergency care of older adults.
authors: Department of Emergency Medicine, University of Chicago, Chicago, IL.
authors: Teresita M
authors: TM
authors: Hogan
authors: School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC.
authors: Natalie L
authors: NL
authors: Richmond
authors: Division of Emergency Medicine, Washington University at St. Louis, St. Louis, MO.
authors: Christopher R
authors: CR
authors: Carpenter
authors: Department of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC.
authors: Kevin
authors: K
authors: Biese
authors: Icahn School of Medicine at Mount Sinai, New York, NY.
authors: Ula
authors: U
authors: Hwang
authors: Department of Emergency Medicine, University of Wisconsin, Madison, WI.
authors: Manish N
authors: MN
authors: Shah
authors: John A. Hartford Foundation, New York, NY.
authors: Marcus
authors: M
authors: Escobedo
authors: John A. Hartford Foundation, New York, NY.
authors: Amy
authors: A
authors: Berman
authors: Department of Emergency Medicine, Duke University, Durham, NC.
authors: Joshua S
authors: JS
authors: Broder
authors: Department of Emergency Medicine and the Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC.
authors: Timothy F
authors: TF
authors: Platts-Mills
mesh_terms: D000328:Adult; D003657:Decision Making; D004635:Emergency Medicine / Q000458:organization & administration*; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005853:Geriatrics / Q000458:organization & administration*; D006302:Health Services Research; D006801:Humans; D010358:Patient Participation