Consistency of nurses' daily predictions of survival in the intensive care
Minne, L.; Dongelmans, D.A.; de Jonge, E.; Abu-Hanna, A.
Studies in Health Technology and Informatics 180: 1060-1064
2012
ISSN/ISBN: 0926-9630 PMID: 22874356 Document Number: 657439
In the Intensive Care Unit, clinicians are continuously faced with the difficult task of prognosis, but their predictions of patient survival status may not always be consistent. Specifically very little is known about consistency of predictions over time. The aim of this paper is to assess the consistency of nurses' daily predictions of survival in terms of inter-observer variance and variance of observers over time. We found a low consistency of these predictions between observers and over time, even though changes in the patients' condition are considered. Our findings have implications to the process of end-of-life decision-making, which pertains to withholding or withdrawing intensive care treatment.