{"id":"https://openalex.org/W2945231007","doi":"https://doi.org/10.1111/jep.13167","title":"Implementing an intervention to improve decision making around referral and admission to intensive care: Results of feasibility testing in three NHS hospitals","display_name":"Implementing an intervention to improve decision making around referral and admission to intensive care: Results of feasibility testing in three NHS hospitals","publication_year":2019,"publication_date":"2019-05-17","ids":{"openalex":"https://openalex.org/W2945231007","doi":"https://doi.org/10.1111/jep.13167","mag":"2945231007","pmid":"https://pubmed.ncbi.nlm.nih.gov/31099118","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7003751"},"language":"en","primary_location":{"id":"doi:10.1111/jep.13167","doi":"https://doi.org/10.1111/jep.13167","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jep.13167","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jep.13167","source":{"id":"https://openalex.org/S2713501","display_name":"Journal of Evaluation in Clinical Practice","issn_l":"1356-1294","issn":["1356-1294","1365-2753"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Evaluation in Clinical Practice","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","datacite","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jep.13167","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041991433","display_name":"Sophie Rees","orcid":"https://orcid.org/0000-0003-4399-2049","observed_orcids":["https://orcid.org/0000-0003-4399-2049"]},"institutions":[{"id":"https://openalex.org/I39555362","display_name":"University of Warwick","ror":"https://ror.org/01a77tt86","country_code":"GB","type":"education","lineage":["https://openalex.org/I39555362"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Sophie Rees","raw_affiliation_strings":["Warwick Medical School, University of Warwick, Coventry, UK"],"raw_orcid":"https://orcid.org/0000-0003-4399-2049","affiliations":[{"raw_affiliation_string":"Warwick Medical School, University of Warwick, Coventry, UK","institution_ids":["https://openalex.org/I39555362"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073093105","display_name":"Christopher R. Bassford","orcid":"https://orcid.org/0000-0003-0305-834X","observed_orcids":["https://orcid.org/0000-0003-0305-834X"]},"institutions":[{"id":"https://openalex.org/I2802705189","display_name":"University Hospitals Coventry and Warwickshire NHS Trust","ror":"https://ror.org/025n38288","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802705189"]},{"id":"https://openalex.org/I39555362","display_name":"University of Warwick","ror":"https://ror.org/01a77tt86","country_code":"GB","type":"education","lineage":["https://openalex.org/I39555362"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Christopher Bassford","raw_affiliation_strings":["University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK","Warwick Medical School, University of Warwick, Coventry, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK","institution_ids":["https://openalex.org/I2802705189"]},{"raw_affiliation_string":"Warwick Medical School, University of Warwick, Coventry, UK","institution_ids":["https://openalex.org/I39555362"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015720603","display_name":"Jeremy R. Dale","orcid":"https://orcid.org/0000-0001-9256-3553","observed_orcids":["https://orcid.org/0000-0001-9256-3553"]},"institutions":[{"id":"https://openalex.org/I39555362","display_name":"University of Warwick","ror":"https://ror.org/01a77tt86","country_code":"GB","type":"education","lineage":["https://openalex.org/I39555362"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Jeremy Dale","raw_affiliation_strings":["Warwick Medical School, University of Warwick, Coventry, UK"],"raw_orcid":"https://orcid.org/0000-0001-9256-3553","affiliations":[{"raw_affiliation_string":"Warwick Medical School, University of Warwick, Coventry, UK","institution_ids":["https://openalex.org/I39555362"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021333985","display_name":"Zo\u00eb B. McC. Fritz","orcid":"https://orcid.org/0000-0001-9403-409X","observed_orcids":["https://orcid.org/0000-0001-9403-409X"]},"institutions":[{"id":"https://openalex.org/I2802466933","display_name":"Cambridge University Hospitals NHS Foundation Trust","ror":"https://ror.org/04v54gj93","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802466933"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Zoe Fritz","raw_affiliation_strings":["Cambridge University Hospital NHS Trust, Cambridge, UK"],"raw_orcid":"https://orcid.org/0000-0001-9403-409X","affiliations":[{"raw_affiliation_string":"Cambridge University Hospital NHS Trust, Cambridge, UK","institution_ids":["https://openalex.org/I2802466933"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010336667","display_name":"Frances E. Griffiths","orcid":"https://orcid.org/0000-0002-4173-1438","observed_orcids":["https://orcid.org/0000-0002-4173-1438"]},"institutions":[{"id":"https://openalex.org/I192619145","display_name":"University of the Witwatersrand","ror":"https://ror.org/03rp50x72","country_code":"ZA","type":"education","lineage":["https://openalex.org/I192619145"]},{"id":"https://openalex.org/I39555362","display_name":"University of Warwick","ror":"https://ror.org/01a77tt86","country_code":"GB","type":"education","lineage":["https://openalex.org/I39555362"]}],"countries":["GB","ZA"],"is_corresponding":false,"raw_author_name":"Frances Griffiths","raw_affiliation_strings":["University of the Witwatersrand, Johannesburg, South Africa","Warwick Medical School, University of Warwick, Coventry, UK"],"raw_orcid":"https://orcid.org/0000-0002-4173-1438","affiliations":[{"raw_affiliation_string":"University of the Witwatersrand, Johannesburg, South Africa","institution_ids":["https://openalex.org/I192619145"]},{"raw_affiliation_string":"Warwick Medical School, University of Warwick, Coventry, UK","institution_ids":["https://openalex.org/I39555362"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015412906","display_name":"Helen M. Parsons","orcid":"https://orcid.org/0000-0002-2765-3728","observed_orcids":["https://orcid.org/0000-0002-2765-3728"]},"institutions":[{"id":"https://openalex.org/I39555362","display_name":"University of Warwick","ror":"https://ror.org/01a77tt86","country_code":"GB","type":"education","lineage":["https://openalex.org/I39555362"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Helen Parsons","raw_affiliation_strings":["Warwick Medical School, University of Warwick, Coventry, UK"],"raw_orcid":"https://orcid.org/0000-0002-2765-3728","affiliations":[{"raw_affiliation_string":"Warwick Medical School, University of Warwick, Coventry, UK","institution_ids":["https://openalex.org/I39555362"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079381636","display_name":"Gavin D. Perkins","orcid":"https://orcid.org/0000-0003-3027-7548","observed_orcids":["https://orcid.org/0000-0003-3027-7548"]},"institutions":[{"id":"https://openalex.org/I39555362","display_name":"University of Warwick","ror":"https://ror.org/01a77tt86","country_code":"GB","type":"education","lineage":["https://openalex.org/I39555362"]},{"id":"https://openalex.org/I4210104666","display_name":"Heartlands Hospital","ror":"https://ror.org/01bd5gh54","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210104666"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Gavin D. Perkins","raw_affiliation_strings":["Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK","Warwick Medical School, University of Warwick, Coventry, UK"],"raw_orcid":"https://orcid.org/0000-0003-3027-7548","affiliations":[{"raw_affiliation_string":"Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK","institution_ids":["https://openalex.org/I4210104666"]},{"raw_affiliation_string":"Warwick Medical School, University of Warwick, Coventry, UK","institution_ids":["https://openalex.org/I39555362"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5028404747","display_name":"Anne\u2010Marie Slowther","orcid":"https://orcid.org/0000-0002-3338-8457","observed_orcids":["https://orcid.org/0000-0002-3338-8457"]},"institutions":[{"id":"https://openalex.org/I2802705189","display_name":"University Hospitals Coventry and Warwickshire NHS Trust","ror":"https://ror.org/025n38288","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802705189"]},{"id":"https://openalex.org/I39555362","display_name":"University of Warwick","ror":"https://ror.org/01a77tt86","country_code":"GB","type":"education","lineage":["https://openalex.org/I39555362"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Anne Marie Slowther","raw_affiliation_strings":["University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK","Warwick Medical School, University of Warwick, Coventry, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK","institution_ids":["https://openalex.org/I2802705189"]},{"raw_affiliation_string":"Warwick Medical School, University of Warwick, Coventry, UK","institution_ids":["https://openalex.org/I39555362"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5041991433"],"corresponding_institution_ids":["https://openalex.org/I39555362"],"apc_list":{"value":3800,"currency":"USD","value_usd":3800},"apc_paid":{"value":3800,"currency":"USD","value_usd":3800},"fwci":1.8141,"has_fulltext":true,"cited_by_count":12,"citation_normalized_percentile":{"value":0.83768049,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"26","issue":"1","first_page":"56","last_page":"65"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.45019999146461487,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.45019999146461487,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.1753000020980835,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.07100000232458115,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/intensive-care-unit-admission","display_name":"intensive care unit admission","score":0.9190000295639038},{"id":"https://openalex.org/keywords/clinical-decision-making","display_name":"clinical decision-making","score":0.8790000081062317},{"id":"https://openalex.org/keywords/decision-support-interventions","display_name":"decision support interventions","score":0.6380000114440918},{"id":"https://openalex.org/keywords/feasibility","display_name":"feasibility","score":0.6679999828338623},{"id":"https://openalex.org/keywords/implementation","display_name":"implementation","score":0.382999986410141},{"id":"https://openalex.org/keywords/organizational-culture","display_name":"organizational culture","score":0.8500000238418579},{"id":"https://openalex.org/keywords/workload","display_name":"workload","score":0.45399999618530273},{"id":"https://openalex.org/keywords/patient-centered-care","display_name":"patient-centered care","score":0.8389999866485596},{"id":"https://openalex.org/keywords/clinical-reasoning","display_name":"clinical reasoning","score":0.6290000081062317},{"id":"https://openalex.org/keywords/critically-ill-patients","display_name":"critically ill patients","score":0.6740000247955322},{"id":"https://openalex.org/keywords/nhs-hospitals","display_name":"NHS hospitals","score":0.6869999766349792}],"concepts":[{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.7755237817764282},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.7723561525344849},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6527348756790161},{"id":"https://openalex.org/C2778476105","wikidata":"https://www.wikidata.org/wiki/Q628539","display_name":"Workload","level":2,"score":0.6023660898208618},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5598888993263245},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.5148645639419556},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.45474478602409363},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.41007691621780396},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.11146518588066101},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.09759122133255005},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003422","descriptor_name":"Critical Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004739","descriptor_name":"England","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005240","descriptor_name":"Feasibility Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012017","descriptor_name":"Referral and Consultation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013222","descriptor_name":"State Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D035501","descriptor_name":"Uncertainty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":6,"locations":[{"id":"doi:10.1111/jep.13167","doi":"https://doi.org/10.1111/jep.13167","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jep.13167","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jep.13167","source":{"id":"https://openalex.org/S2713501","display_name":"Journal of Evaluation in Clinical Practice","issn_l":"1356-1294","issn":["1356-1294","1365-2753"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Evaluation in Clinical Practice","raw_type":"journal-article"},{"id":"pmid:31099118","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31099118","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of evaluation in clinical practice","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7003751","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7003751/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Eval Clin Pract","raw_type":"Text"},{"id":"pmh:oai:wrap.warwick.ac.uk:116545","doi":null,"is_oa":true,"landing_page_url":"https://doi.org/10.1111/jep.13167","pdf_url":"https://wrap.warwick.ac.uk/id/eprint/116545/7/WRAP-implementing-intervention-improve-decision-making-referral-admission-intensive-care-OA-Rees-2019.pdf","source":{"id":"https://openalex.org/S4306400665","display_name":"Warwick Research Archive Portal (University of Warwick)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I39555362","host_organization_name":"University of Warwick","host_organization_lineage":["https://openalex.org/I39555362"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Journal Article"},{"id":"pmh:oai:www.repository.cam.ac.uk:1810/292556","doi":null,"is_oa":false,"landing_page_url":"https://www.repository.cam.ac.uk/handle/1810/292556","pdf_url":null,"source":{"id":"https://openalex.org/S4306401777","display_name":"Apollo (University of Cambridge)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I241749","host_organization_name":"University of Cambridge","host_organization_lineage":["https://openalex.org/I241749"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Article"},{"id":"doi:10.17863/cam.39717","doi":"https://doi.org/10.17863/cam.39717","is_oa":true,"landing_page_url":"https://doi.org/10.17863/cam.39717","pdf_url":null,"source":{"id":"https://openalex.org/S7407050737","display_name":"Apollo","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"doi:10.1111/jep.13167","doi":"https://doi.org/10.1111/jep.13167","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jep.13167","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jep.13167","source":{"id":"https://openalex.org/S2713501","display_name":"Journal of Evaluation in Clinical Practice","issn_l":"1356-1294","issn":["1356-1294","1365-2753"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Evaluation in Clinical Practice","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9476000070571899}],"study_designs":[],"awards":[{"id":"https://openalex.org/G1391667802","display_name":null,"funder_award_id":"13/10/14","funder_id":"https://openalex.org/F4320334785","funder_display_name":"Health Services and Delivery Research Programme"},{"id":"https://openalex.org/G443677690","display_name":null,"funder_award_id":"13/10/14","funder_id":"https://openalex.org/F4320319990","funder_display_name":"National Institute for Health and Care Research"}],"funders":[{"id":"https://openalex.org/F4320319990","display_name":"National Institute for Health and Care Research","ror":"https://ror.org/0187kwz08"},{"id":"https://openalex.org/F4320319994","display_name":"Department of Health and Social Care","ror":"https://ror.org/03sbpja79"},{"id":"https://openalex.org/F4320334785","display_name":"Health Services and Delivery Research Programme","ror":"https://ror.org/0187kwz08"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2945231007.pdf","grobid_xml":"https://content.openalex.org/works/W2945231007.grobid-xml"},"referenced_works_count":41,"referenced_works":["https://openalex.org/W81685006","https://openalex.org/W1951008065","https://openalex.org/W1964143014","https://openalex.org/W1969625656","https://openalex.org/W1971949158","https://openalex.org/W1978689281","https://openalex.org/W1982716358","https://openalex.org/W1984394603","https://openalex.org/W2010931290","https://openalex.org/W2015769833","https://openalex.org/W2025282668","https://openalex.org/W2033266691","https://openalex.org/W2034174103","https://openalex.org/W2049330435","https://openalex.org/W2054103341","https://openalex.org/W2059998071","https://openalex.org/W2062871960","https://openalex.org/W2081820469","https://openalex.org/W2083914467","https://openalex.org/W2086412578","https://openalex.org/W2103428320","https://openalex.org/W2110603783","https://openalex.org/W2112252085","https://openalex.org/W2122402281","https://openalex.org/W2123377387","https://openalex.org/W2130916207","https://openalex.org/W2133674686","https://openalex.org/W2134593687","https://openalex.org/W2136611546","https://openalex.org/W2138648640","https://openalex.org/W2138664283","https://openalex.org/W2155621305","https://openalex.org/W2162294722","https://openalex.org/W2170704862","https://openalex.org/W2333195830","https://openalex.org/W2466660681","https://openalex.org/W2535269105","https://openalex.org/W2545846385","https://openalex.org/W2585890957","https://openalex.org/W2764025525","https://openalex.org/W2765496044"],"related_works":["https://openalex.org/W2935565432","https://openalex.org/W2991606160","https://openalex.org/W3024317418","https://openalex.org/W3095858262","https://openalex.org/W2771445325","https://openalex.org/W3047285857","https://openalex.org/W6990136921","https://openalex.org/W4229829773","https://openalex.org/W2920918656","https://openalex.org/W2784225765"],"abstract_inverted_index":{"RATIONALE,":[0],"AIMS,":[1],"AND":[2],"OBJECTIVES:":[3],"Decisions":[4],"about":[5,46,157],"whether":[6],"to":[7,13,44,48,60,76,140,168,194,226,230,238,301],"refer":[8],"or":[9],"admit":[10],"a":[11,176,294],"patient":[12,195,213],"an":[14,68,228,289],"intensive":[15],"care":[16],"unit":[17],"(ICU)":[18],"are":[19,41],"clinically,":[20],"organizationally,":[21],"and":[22,27,33,82,101,110,126,152,185,191,207,214,236,247,262,272,297],"ethically":[23,83,298],"challenging.":[24,211],"Many":[25],"explicit":[26,200],"implicit":[28],"factors":[29],"influence":[30],"these":[31,64,205],"decisions,":[32,190,206,285],"there":[34,275],"is":[35,56,224],"substantial":[36],"variability":[37],"in":[38,99,105,160,204,278],"how":[39],"they":[40],"made,":[42],"leading":[43],"concerns":[45],"access":[47],"appropriate":[49],"treatment":[50],"for":[51,189],"critically":[52],"ill":[53],"patients.":[54],"There":[55,130],"currently":[57],"no":[58],"guidance":[59],"support":[61],"doctors":[62,75],"making":[63,233,266,269],"decisions.":[65,85],"We":[66],"developed":[67],"intervention":[69,94,198,229,242,258,287],"with":[70,182],"the":[71,90,93,135,146,161,201,241,257,280,286],"aim":[72],"of":[73,92,107,124,134,138,163,187,256],"supporting":[74],"make":[77],"more":[78,270,295],"transparent,":[79],"consistent,":[80],"patient-centred,":[81],"justified":[84],"This":[86],"paper":[87],"reports":[88],"on":[89,113,179],"implementation":[91],"at":[95],"three":[96],"NHS":[97],"hospitals":[98],"England":[100],"evaluates":[102],"its":[103,169],"feasibility":[104],"terms":[106],"usage,":[108],"acceptability,":[109],"perceived":[111,264],"impact":[112,178],"decision":[114,180,232,268],"making.":[115],"METHODS:":[116],"A":[117],"mixed":[118],"method":[119],"study":[120,148],"including":[121],"quantitative":[122],"assessment":[123],"usage":[125],"qualitative":[127],"interviews.":[128],"RESULTS:":[129],"was":[131,209],"moderate":[132],"uptake":[133],"framework":[136],"(28.2%":[137],"referrals":[139],"ICU":[141,267,302],"across":[142],"all":[143],"sites":[144],"during":[145],"3-month":[147],"period).":[149],"Organizational":[150],"structure":[151],"culture":[153,246],"affected":[154],"implementation.":[155],"Concerns":[156],"increased":[158],"workload":[159],"context":[162],"limited":[164],"resources":[165],"were":[166,218,259,263],"obstacles":[167],"use.":[170],"Doctors":[171],"who":[172],"used":[173],"it":[174,223],"reported":[175],"positive":[177],"making,":[181],"better":[183],"articulation":[184],"communication":[186],"reasons":[188],"greater":[192],"attention":[193],"wishes.":[196],"The":[197,212,253],"made":[199],"uncertainty":[202],"inherent":[203],"this":[208],"sometimes":[210],"family":[215],"information":[216],"leaflets":[217],"not":[219],"used.":[220],"CONCLUSIONS:":[221],"While":[222,274],"feasible":[225],"implement":[227],"improve":[231],"around":[234],"referral":[235],"admission":[237],"ICU,":[239],"embedding":[240],"into":[243],"existing":[244],"organizational":[245],"practice":[248],"would":[249],"likely":[250],"increase":[251],"adoption.":[252],"doctor-facing":[254],"elements":[255],"generally":[260],"acceptable":[261],"as":[265],"transparent":[271],"patient-centred.":[273],"remained":[276],"difficulties":[277],"articulating":[279],"clinical":[281],"reasoning":[282],"behind":[283],"some":[284],"offers":[288],"important":[290],"step":[291],"towards":[292],"establishing":[293],"clinically":[296],"sound":[299],"approach":[300],"admission.":[303]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2019-05-29T00:00:00"}
