Interprofessional Shared Decision-Making in the ICU

A Systematic Review and Recommendations From an Expert Panel

Andrej Michalsen, MD, MPH; Ann C. Long, MD, MS; Freda DeKeyser Ganz, PhD, RN; Douglas B. White, MD, MAS; Hanne I. Jensen, PhD, RN; Victoria Metaxa, MD, PhD; Christiane S. Hartog, MD, PhD; Jos M. Latour, PhD, RN; Robert D. Truog, MD; Jozef Kesecioglu, MD, PhD; Anna R. Mahn, RN; J. Randall Curtis, MD, MPH


Crit Care Med. 2019;47(9):1258-1266. 

In This Article


These recommendations are based on limited empirical evidence and therefore are largely based on expert opinion. Second, we only reviewed English literature and may have missed sources in other languages. Third, evidence suggests there is significant variability in ethical decision-making climate in different ICUs, and it is not clear how this impacts the effectiveness of IP-SDM in different settings. Even if not all recommendations can be used, ICU teams should aspire to implement IP-SDM as best as possible under prevailing circumstances.