What are the priority Emergency Department (ED) presenting conditions for which ED-based Shared Decision-Making should be most urgently developed?

An article in this week’s Wall Street Journal focused on the development and use of shared decision-making (SDM) tools in the emergency department (ED).  Decision tools can help engage patients in making decisions about their care, including decisions about which tests and treatments to pursue.  In the ED, relevant decisions are (1) decisions involving two similarly reasonable optionsContinue reading “What are the priority Emergency Department (ED) presenting conditions for which ED-based Shared Decision-Making should be most urgently developed?”

Patient choice in management of acute appendicitis

In an article in JAMA Surgery this week, the authors show not only that it is safe (and perhaps safer) to treat uncomplicated appendicitis nonoperatively but also that letting parents choose  the treatment option for their child is an effective strategy. The question of safety has been addressed in prior adult and pediatric trials, leading toContinue reading “Patient choice in management of acute appendicitis”