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Edisto Library
Closed for renovations
Phone: (843) 869-2355
Main Library
9 a.m. - 8 p.m.
Phone: (843) 805-6930
West Ashley Library
9 a.m. – 7 p.m.
Phone: (843) 766-6635
Folly Beach Library
Closed for renovations
Phone: (843) 588-2001
John L. Dart Library
9 a.m. – 7 p.m.
Phone: (843) 722-7550
St. Paul's/Hollywood Library
9 a.m. - 8 p.m.
Phone: (843) 889-3300
Mt. Pleasant Library
9 a.m. – 8 p.m.
Phone: (843) 849-6161
Dorchester Road Library
9 a.m. - 8 p.m.
Phone: (843) 552-6466
Edgar Allan Poe/Sullivan's Island Library
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Wando Mount Pleasant Library
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9 a.m. - 8 p.m.
Phone: (843) 572-4094
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9 a.m. - 8 p.m.
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9 a.m. - 6 p.m.
Phone: (843) 884-9741
Keith Summey North Charleston Library
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Phone: (843) 805-6909
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Bundled Consent in US Intensive Care Units.
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- Author(s): Espinosa, Maria L.; Tannenbaum, Aaron M.; Kilaru, Megha; Stevens, Jennifer; Siegler, Mark; Howell, Michael D.; Parker, William F.
- Source:
American Journal of Critical Care. May2020, Vol. 29 Issue 3, pe44-e51. 8p. 1 Diagram, 3 Charts, 2 Graphs. - Source:
- Additional Information
- Subject Terms: ACADEMIC medical centers; ATTITUDE (Psychology); CONFIDENCE intervals; CONVERSATION; HOSPITALS; INFORMED consent (Medical law); INTENSIVE care units; LONGITUDINAL method; MEDICAL personnel; PATIENT-professional relations; MEDICAL practice; RESEARCH funding; STATISTICAL sampling; SELF-evaluation; OPERATIVE surgery; SURVEYS; T-test (Statistics); DECISION making in clinical medicine; PATIENTS' families; DATA analysis software; PATIENTS' attitudes; FAMILY attitudes; DESCRIPTIVE statistics
- Subject Terms:
- Abstract: Background: Bundled consent, the practice of obtaining anticipatory consent for a predefined set of intensive care unit procedures, increases the rate of informed consent conversations and incorporation of patients' wishes into medical decision-making without sacrificing patients' or surrogates' understanding. However, the adoption rate for this practice in academic and nonacademic centers in the United States is unknown. Objective: To determine the national prevalence of use of bundled consent in adult intensive care units and opinions related to bundled consent. Methods: A random sample of US hospitals with medical/surgical intensive care units was selected from the AHA [American Hospital Association] Guide. One intensive care unit provider (bedside nurse, nurse manager, or physician) from each hospital was asked to self-reportuse of per-procedure consent versus bundled consent, consent rate for intensive care unit procedures, and opinions about bundled consent. Results: Of the 238 hospitals contacted, respondents from 100 (42%) completed the survey; 94% of respondents were nurses. The prevalence of bundled consent use was 15% (95% CI, 9%–24%). Respondents using per-procedure consent were more likely than those using bundled consent to self-report performing invasive procedures without consent. Users of bundled consent unanimously recommended the practice, and 49% of respondents using per-procedure consent reported interest in implementing bundled consent. Results: Bundled consent use is uncommon in academic and nonacademic intensive care units, most likely because of conflicting evidence about the effect on patients and surrogate decision makers. Future work is needed to determine if patients, family members, and providers prefer bundled consent over per-procedure consent. [ABSTRACT FROM AUTHOR]
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