Organ support & nutrition

Factors influencing multidisciplinary clinical decision-making in the critical care unit: a systematic review and mixed-methods meta-synthesis

BJA OpenPublished Systematic review and mixed-methods meta-synthesis

Authors' conclusion

Decision-making surrounding organ support treatment is complex and dynamic. However, there are four distinctive potentially modifiable themes that influence the multidisciplinary decision-making process.

Study context

Population
Studies exploring factors influencing multidisciplinary organ support decisions in the intensive care unit (ICU)33 studies
Outcome
Factors and processes influencing decisions on organ support treatments in the ICU (decision-making model)
Methodological detailsthree databases (PubMed, Embase, CINAHL), 8967 records screened; 33 studies included
  • Three databases (PubMed, Embase, CINAHL)
  • 8967 records screened; 33 studies included

Pooled result

As reported in the abstract

Factors that can influence and strain clinicians' decision-making

11

Potentially modifiable themes: human, team, system, patient

4

Original publication

Factors influencing multidisciplinary clinical decision-making in the critical care unit: a systematic review and mixed-methods meta-synthesis. BJA Open. Published 25 September 2025. doi:10.1016/j.bjao.2025.100488

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