"No Escalation of Treatment" Designations: A Multi-institutional Exploratory Qualitative Study.

ABSTRACT:

Background

No Escalation of Treatment (NoET) designations are used in ICUs internationally to limit treatment for critically ill patients. However, they are the subject of debate in the literature and have not been qualitatively studied.

Research question

How do physicians understand and perceive NoET designations, especially regarding their usefulness and associated challenges? What mechanisms do hospitals provide to facilitate the use of NoET designations?

Study design and methods

Qualitative study at seven US hospitals, employing semistructured interviews with 30 physicians and review of relevant institutional records (eg, hospital policies, screenshots of ordering menus in the electronic health record).

Results

At all hospitals, participants reported the us

SUBMITTER: Batten JN 

PROVIDER: S-EPMC9993335 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature