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5,088 results on '"Thornton, J"'

2. Index

Author

Thornton, J. Mills

Published
2016

4. Conclusion

Author

Thornton, J. Mills

Published
2016

16. Defining the Time-limited Trial for Patients with Critical Illness: An Official American Thoracic Society Workshop Report.

Author

Rubin, Eileen, Schenker, Yael, Sullivan, Donald, Thornton, J, Viglianti, Elizabeth, Costa, Deena, Creutzfeldt, Claire, Detsky, Michael, Engel, Heidi, Grover, Neera, Hope, Aluko, Katz, Jason, Kohn, Rachel, Miller, Andrew, Nabozny, Michael, Nelson, Judith, Shanawani, Hasan, Stevens, Jennifer, Turnbull, Alison, Weiss, Curtis, Wirpsa, M, Cox, Christopher, Kruser, Jacqueline, Ashana, Deepshikha, Courtright, Katherine, Kross, Erin, and Neville, Thanh

Subjects
critical care, life-sustaining therapy, palliative care, shared decision making, Humans, United States, Decision Making, Critical Illness, Critical Care, Consensus, Patients
Abstract

In critical care, the specific, structured approach to patient care known as a time-limited trial has been promoted in the literature to help patients, surrogate decision makers, and clinicians navigate consequential decisions about life-sustaining therapy in the face of uncertainty. Despite promotion of the time-limited trial approach, a lack of consensus about its definition and essential elements prevents optimal clinical use and rigorous evaluation of its impact. The objectives of this American Thoracic Society Workshop Committee were to establish a consensus definition of a time-limited trial in critical care, identify the essential elements for conducting a time-limited trial, and prioritize directions for future work. We achieved these objectives through a structured search of the literature, a modified Delphi process with 100 interdisciplinary and interprofessional stakeholders, and iterative committee discussions. We conclude that a time-limited trial for patients with critical illness is a collaborative plan among clinicians and a patient and/or their surrogate decision makers to use life-sustaining therapy for a defined duration, after which the patients response to therapy informs the decision to continue care directed toward recovery, transition to care focused exclusively on comfort, or extend the trials duration. The plans 16 essential elements follow four sequential phases: consider, plan, support, and reassess. We acknowledge considerable gaps in evidence about the impact of time-limited trials and highlight a concern that if inadequately implemented, time-limited trials may perpetuate unintended harm. Future work is needed to better implement this defined, specific approach to care in practice through a person-centered equity lens and to evaluate its impact on patients, surrogates, and clinicians.

Published
2024

21. INDEX

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

24. SUGGESTED READING

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

26. 10 A mother's account

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

27. 15 The doctor's dilemma

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

28. 2 Inpatient treatment

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

30. 9 The future

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

31. 7 Support for relatives

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

33. 8 Work and school

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

34. 12 I am a schizophrenic

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

36. 5 How relatives can help

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

37. 1 What is schizophrenia?

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

38. 11 A father's account

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

39. 4 Medications

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

40. 3 Outpatient treatment

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

41. 6 Outcome

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

42. Foreword

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

43. Contents

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

44. Preface

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

47. Acknowledgments

Author

Thornton, J., Seeman, Mary, V., Plummer, E., and Jeffries, Joel, J.

Published
1990

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