American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Information about a critically ill patient's prognosis is important to the shared decision-making process. The factors that physicians and nurses consider when generating their prognoses are not well understood. ⋯ Intensive care unit clinicians use various patient factors to inform their prognoses. Clinicians use different factors when predicting survival than when predicting death. Some factors are reported more frequently for correct predictions than for incorrect predictions.
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Comment Letter
Blood Transfusion in Sepsis and Iatrogenic Hemodilution.
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Comparative Study
Advancing In-Hospital Clinical Deterioration Prediction Models.
Early warning systems lack robust evidence that they improve patients' outcomes, possibly because of their limitation of predicting binary rather than time-to-event outcomes. ⋯ As early warning scoring systems are refined, they must use the best analytical methods that both model the underlying phenomenon and provide an understandable prediction.