2023
Implementation of a Standardized Shared Decision-making Bundle to Improve Communication Practices in the Neurocritical Care Unit
Waseem H, Keegan J, Farrell K, Hwang D, Oliver B, Olm-Shipman C, Pepin R, Mecchella J. Implementation of a Standardized Shared Decision-making Bundle to Improve Communication Practices in the Neurocritical Care Unit. Neurology Clinical Practice 2023, 13: e200120. PMID: 36865641, PMCID: PMC9973293, DOI: 10.1212/cpj.0000000000200120.Peer-Reviewed Original ResearchShared decision-makingSDM conversationsNeurocritical care unitInstitute for Healthcare Improvement's ModelHealth care team membersPlan-Do-Study-Act cyclesPlan-Do-Study-ActCare team membersQuality improvement initiativesElectronic medical recordsPrimary outcome measureInterprofessional teamConsultation ratesSDM practicesIdentified barriersImproved documentationImprovement initiativesLength of stayPatient's familyTeam workflowImprove communicationOutcome measuresPatient preferencesFamily goalsDocumentation tools
2021
End-of-Life Care Decision-Making in Stroke
Gao L, Zhao C, Hwang D. End-of-Life Care Decision-Making in Stroke. Frontiers In Neurology 2021, 12: 702833. PMID: 34650502, PMCID: PMC8505717, DOI: 10.3389/fneur.2021.702833.Peer-Reviewed Original ResearchStroke patientsImmediate post-stroke periodIntensive care unit careLong-term functional outcomeCare decisionsCode status changePost-stroke periodIntensive care unitIntracerebral hemorrhage patientsLong-term disabilityLife care discussionsLife-sustaining therapyCause of deathLife care decisionsClinician's subjectivityIschemic strokeUnit careCare unitHemorrhage patientsPatient survivalFunctional outcomeProvider recommendationPatient preferencesCare discussionsTreatment goals