Table 3.
Effects of Shared Decision Making Interventions on Consultation Times in Emergency Medicine
First Author And Year | Topic | Study Type | Time Measurement | SDM Time Consumption |
---|---|---|---|---|
Flynn 201534 | Thrombolysis in acute stroke | Decision aid development report | Decision aid usage time measured through the electronic device the decision aid was presented on | Usage time between 0.7 and 30 minutes Median 2.8 minutes, IQR 7.6 minutes |
Hess 201644 | Chest pain | Randomized controlled trial of decision aid | Discussion time between doctors and patients taken from audio and video recordings | Usual care: 3.1 minutes (standard deviation 0.29 minutes) Intervention: 4.4 minutes (standard deviation 0.40 minutes) Discussions 1.3 minutes longer (P=0.008) |
Hess 201845 | Head computed tomography after trauma | Randomized controlled trial of decision aid | Discussion time between doctors and patients taken from audio and video recordings | Usual care: 5.5 minutes (standard deviation 0.20 minutes) Intervention: 7.6 minutes (standard deviation 0.40 minutes) Discussions 2 minutes longer (P<0.01) |
Probst 202065 | Syncope | Randomized controlled trial of decision aid | Discussion time between doctors and patients taken from audio and video recordings | Usual care: 3.29 minutes (standard deviation 0.20 minutes) Intervention: 5.26 minutes (standard deviation 0.40 minutes) Discussions 1.57 minutes longer (p=0.003) |