Identifying prioritization criteria to supplement critical care triage protocols for the allocation of ventilators during a pandemic influenza.
Identifieur interne : 000277 ( Main/Exploration ); précédent : 000276; suivant : 000278Identifying prioritization criteria to supplement critical care triage protocols for the allocation of ventilators during a pandemic influenza.
Auteurs : Shawn Winsor [Canada] ; Cécile M. Bensimon ; Robert Sibbald ; Kyle Anstey ; Paula Chidwick ; Kevin Coughlin ; Peter Cox ; Robert Fowler [Canada] ; Dianne Godkin ; Rebecca A. Greenberg ; Randi Zlotnik ShaulSource :
- Healthcare quarterly (Toronto, Ont.) [ 1710-2774 ] ; 2014.
Descripteurs français
- KwdFr :
- Allocation des ressources (organisation et administration), Comités consultatifs, Grippe humaine (), Grippe humaine (épidémiologie), Humains, Ontario, Pandémies, Protocoles cliniques (normes), Respirateurs artificiels (ressources et distribution), Soins de réanimation (), Soins de réanimation (organisation et administration), Triage ().
- MESH :
- normes : Protocoles cliniques.
- organisation et administration : Allocation des ressources, Soins de réanimation.
- ressources et distribution : Respirateurs artificiels.
- épidémiologie : Grippe humaine.
- Comités consultatifs, Grippe humaine, Humains, Ontario, Pandémies, Soins de réanimation, Triage.
English descriptors
- KwdEn :
- Advisory Committees, Clinical Protocols (standards), Critical Care (methods), Critical Care (organization & administration), Humans, Influenza, Human (epidemiology), Influenza, Human (therapy), Ontario, Pandemics, Resource Allocation (organization & administration), Triage (methods), Ventilators, Mechanical (supply & distribution).
- MESH :
- geographic : Ontario.
- epidemiology : Influenza, Human.
- methods : Critical Care, Triage.
- organization & administration : Critical Care, Resource Allocation.
- standards : Clinical Protocols.
- supply & distribution : Ventilators, Mechanical.
- therapy : Influenza, Human.
- Advisory Committees, Humans, Pandemics.
Abstract
The purpose of this study was to identify supplementary criteria to provide direction when the Ontario Health Plan for an Influenza Pandemic (OHPIP) critical care triage protocol is rendered insufficient by its inability to discriminate among patients assessed as urgent, and there are insufficient critical care resources available to treat those in that category. To accomplish this task, a Supplementary Criteria Task Force for Critical Care Triage was struck at the University of Toronto Joint Centre for Bioethics. The task force reviewed publically available protocols and policies on pandemic flu planning, identified 13 potential triage criteria and determined a set of eight key ethical, legal and practical considerations against which it assessed each criterion. An online questionnaire was distributed to clinical, policy and community stakeholders across Canada to obtain feedback on the 13 potential triage criteria toward selecting those that best met the eight considerations. The task force concluded that the balance of arguments favoured only two of the 13 criteria it had identified for consideration: first come, first served and random selection. The two criteria were chosen in part based on a need to balance the clearly utilitarian approach employed in the OHPIP with equity considerations. These criteria serve as a defensible "fail safe" mechanism for any triage protocol.
DOI: 10.12927/hcq.2014.23833
PubMed: 25191808
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Bensimon</name><affiliation><nlm:affiliation>Researcher for the Canadian Program of Research on Ethics in a Pandemic (CanPREP), in Toronto, Ontario, and a member of the Joint Centre for Bioethics.</nlm:affiliation><wicri:noCountry code="subField">and a member of the Joint Centre for Bioethics</wicri:noCountry></affiliation></author><author><name sortKey="Sibbald, Robert" sort="Sibbald, Robert" uniqKey="Sibbald R" first="Robert" last="Sibbald">Robert Sibbald</name><affiliation><nlm:affiliation>Ethicist at London Health Sciences Centre, in London, Ontario, and a member of the Joint Centre for Bioethics.</nlm:affiliation><wicri:noCountry code="subField">and a member of the Joint Centre for Bioethics</wicri:noCountry></affiliation></author><author><name sortKey="Anstey, Kyle" sort="Anstey, Kyle" uniqKey="Anstey K" first="Kyle" last="Anstey">Kyle Anstey</name><affiliation><nlm:affiliation>Senior bioethicist at the University Health Network, in Toronto, Ontario, assistant professor in the Department of Occupational Science and Occupational Therapy at the University of Toronto, and a member of the Joint Centre for Bioethics.</nlm:affiliation><wicri:noCountry code="subField">and a member of the Joint Centre for Bioethics</wicri:noCountry></affiliation></author><author><name sortKey="Chidwick, Paula" sort="Chidwick, Paula" uniqKey="Chidwick P" first="Paula" last="Chidwick">Paula Chidwick</name><affiliation><nlm:affiliation>Director, research and corporate ethics for the William Osler Health System, in Brampton, Ontario, and a member of the Joint Centre for Bioethics.</nlm:affiliation><wicri:noCountry code="subField">and a member of the Joint Centre for Bioethics</wicri:noCountry></affiliation></author><author><name sortKey="Coughlin, Kevin" sort="Coughlin, Kevin" uniqKey="Coughlin K" first="Kevin" last="Coughlin">Kevin Coughlin</name><affiliation><nlm:affiliation>Neonatologist at the Children's Hospital - London Health Sciences Centre, associate professor in the Department of Paediatrics at the University of Western Ontario.</nlm:affiliation><wicri:noCountry code="subField">associate professor in the Department of Paediatrics at the University of Western Ontario</wicri:noCountry></affiliation></author><author><name sortKey="Cox, Peter" sort="Cox, Peter" uniqKey="Cox P" first="Peter" last="Cox">Peter Cox</name><affiliation><nlm:affiliation>Intensivist at The Hospital for Sick Children, in Toronto, Ontario, and a member of the Joint Centre for Bioethics.</nlm:affiliation><wicri:noCountry code="subField">and a member of the Joint Centre for Bioethics</wicri:noCountry></affiliation></author><author><name sortKey="Fowler, Robert" sort="Fowler, Robert" uniqKey="Fowler R" first="Robert" last="Fowler">Robert Fowler</name><affiliation wicri:level="4"><nlm:affiliation>Intensivist and senior scientist at Sunnybrook Health Sciences Centre, in Toronto, Ontario, assistant professor in the Department of Medicine at the University of Toronto.</nlm:affiliation><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Godkin, Dianne" sort="Godkin, Dianne" uniqKey="Godkin D" first="Dianne" last="Godkin">Dianne Godkin</name><affiliation><nlm:affiliation>Senior ethicist with Trillium Health Partners, in Mississauga, Ontario, and a member of the Joint Centre for Bioethics.</nlm:affiliation><wicri:noCountry code="subField">and a member of the Joint Centre for Bioethics</wicri:noCountry></affiliation></author><author><name sortKey="Greenberg, Rebecca A" sort="Greenberg, Rebecca A" uniqKey="Greenberg R" first="Rebecca A" last="Greenberg">Rebecca A. Greenberg</name><affiliation><nlm:affiliation>Ethicist at The Hospital for Sick Children, and a member of the Joint Centre for Bioethics.</nlm:affiliation><wicri:noCountry code="subField">and a member of the Joint Centre for Bioethics</wicri:noCountry></affiliation></author><author><name sortKey="Shaul, Randi Zlotnik" sort="Shaul, Randi Zlotnik" uniqKey="Shaul R" first="Randi Zlotnik" last="Shaul">Randi Zlotnik Shaul</name><affiliation><nlm:affiliation>Bioethicist, Director of the Bioethics Department at The Hospital for Sick Children, and a member of the Joint Centre for Bioethics.</nlm:affiliation><wicri:noCountry code="subField">and a member of the Joint Centre for Bioethics</wicri:noCountry></affiliation></author></analytic><series><title level="j">Healthcare quarterly (Toronto, Ont.)</title><idno type="ISSN">1710-2774</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Advisory Committees</term><term>Clinical Protocols (standards)</term><term>Critical Care (methods)</term><term>Critical Care (organization & administration)</term><term>Humans</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (therapy)</term><term>Ontario</term><term>Pandemics</term><term>Resource Allocation (organization & administration)</term><term>Triage (methods)</term><term>Ventilators, Mechanical (supply & distribution)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Allocation des ressources (organisation et administration)</term><term>Comités consultatifs</term><term>Grippe humaine ()</term><term>Grippe humaine (épidémiologie)</term><term>Humains</term><term>Ontario</term><term>Pandémies</term><term>Protocoles cliniques (normes)</term><term>Respirateurs artificiels (ressources et distribution)</term><term>Soins de réanimation ()</term><term>Soins de réanimation (organisation et administration)</term><term>Triage ()</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ontario</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Critical Care</term><term>Triage</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Protocoles cliniques</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Allocation des ressources</term><term>Soins de réanimation</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Critical Care</term><term>Resource Allocation</term></keywords><keywords scheme="MESH" qualifier="ressources et distribution" xml:lang="fr"><term>Respirateurs artificiels</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Clinical Protocols</term></keywords><keywords scheme="MESH" qualifier="supply & distribution" xml:lang="en"><term>Ventilators, Mechanical</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Advisory Committees</term><term>Humans</term><term>Pandemics</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Comités consultatifs</term><term>Grippe humaine</term><term>Humains</term><term>Ontario</term><term>Pandémies</term><term>Soins de réanimation</term><term>Triage</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The purpose of this study was to identify supplementary criteria to provide direction when the Ontario Health Plan for an Influenza Pandemic (OHPIP) critical care triage protocol is rendered insufficient by its inability to discriminate among patients assessed as urgent, and there are insufficient critical care resources available to treat those in that category. To accomplish this task, a Supplementary Criteria Task Force for Critical Care Triage was struck at the University of Toronto Joint Centre for Bioethics. The task force reviewed publically available protocols and policies on pandemic flu planning, identified 13 potential triage criteria and determined a set of eight key ethical, legal and practical considerations against which it assessed each criterion. An online questionnaire was distributed to clinical, policy and community stakeholders across Canada to obtain feedback on the 13 potential triage criteria toward selecting those that best met the eight considerations. The task force concluded that the balance of arguments favoured only two of the 13 criteria it had identified for consideration: first come, first served and random selection. The two criteria were chosen in part based on a need to balance the clearly utilitarian approach employed in the OHPIP with equity considerations. These criteria serve as a defensible "fail safe" mechanism for any triage protocol. </div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25191808</PMID><DateCompleted><Year>2016</Year><Month>09</Month><Day>14</Day></DateCompleted><DateRevised><Year>2019</Year><Month>10</Month><Day>27</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1710-2774</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><Issue>2</Issue><PubDate><Year>2014</Year></PubDate></JournalIssue><Title>Healthcare quarterly (Toronto, Ont.)</Title><ISOAbbreviation>Healthc Q</ISOAbbreviation></Journal><ArticleTitle>Identifying prioritization criteria to supplement critical care triage protocols for the allocation of ventilators during a pandemic influenza.</ArticleTitle><Pagination><MedlinePgn>44-51</MedlinePgn></Pagination><Abstract><AbstractText>The purpose of this study was to identify supplementary criteria to provide direction when the Ontario Health Plan for an Influenza Pandemic (OHPIP) critical care triage protocol is rendered insufficient by its inability to discriminate among patients assessed as urgent, and there are insufficient critical care resources available to treat those in that category. To accomplish this task, a Supplementary Criteria Task Force for Critical Care Triage was struck at the University of Toronto Joint Centre for Bioethics. The task force reviewed publically available protocols and policies on pandemic flu planning, identified 13 potential triage criteria and determined a set of eight key ethical, legal and practical considerations against which it assessed each criterion. An online questionnaire was distributed to clinical, policy and community stakeholders across Canada to obtain feedback on the 13 potential triage criteria toward selecting those that best met the eight considerations. The task force concluded that the balance of arguments favoured only two of the 13 criteria it had identified for consideration: first come, first served and random selection. The two criteria were chosen in part based on a need to balance the clearly utilitarian approach employed in the OHPIP with equity considerations. These criteria serve as a defensible "fail safe" mechanism for any triage protocol. </AbstractText><CopyrightInformation>Copyright © 2014 Longwoods Publishing.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Winsor</LastName><ForeName>Shawn</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Candidate in Health Policy in the Department of Clinical Epidemiology and Biostatistics at McMaster University, in Hamilton, Ontario, and a member of the Joint Centre for Bioethics, University of Toronto, in Toronto, Ontario.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bensimon</LastName><ForeName>Cécile M</ForeName><Initials>CM</Initials><AffiliationInfo><Affiliation>Researcher for the Canadian Program of Research on Ethics in a Pandemic (CanPREP), in Toronto, Ontario, and a member of the Joint Centre for Bioethics.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sibbald</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Ethicist at London Health Sciences Centre, in London, Ontario, and a member of the Joint Centre for Bioethics.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Anstey</LastName><ForeName>Kyle</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Senior bioethicist at the University Health Network, in Toronto, Ontario, assistant professor in the Department of Occupational Science and Occupational Therapy at the University of Toronto, and a member of the Joint Centre for Bioethics.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chidwick</LastName><ForeName>Paula</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Director, research and corporate ethics for the William Osler Health System, in Brampton, Ontario, and a member of the Joint Centre for Bioethics.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Coughlin</LastName><ForeName>Kevin</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Neonatologist at the Children's Hospital - London Health Sciences Centre, associate professor in the Department of Paediatrics at the University of Western Ontario.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cox</LastName><ForeName>Peter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Intensivist at The Hospital for Sick Children, in Toronto, Ontario, and a member of the Joint Centre for Bioethics.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fowler</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Intensivist and senior scientist at Sunnybrook Health Sciences Centre, in Toronto, Ontario, assistant professor in the Department of Medicine at the University of Toronto.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Godkin</LastName><ForeName>Dianne</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Senior ethicist with Trillium Health Partners, in Mississauga, Ontario, and a member of the Joint Centre for Bioethics.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Greenberg</LastName><ForeName>Rebecca A</ForeName><Initials>RA</Initials><AffiliationInfo><Affiliation>Ethicist at The Hospital for Sick Children, and a member of the Joint Centre for Bioethics.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shaul</LastName><ForeName>Randi Zlotnik</ForeName><Initials>RZ</Initials><AffiliationInfo><Affiliation>Bioethicist, Director of the Bioethics Department at The Hospital for Sick Children, and a member of the Joint Centre for Bioethics.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Canada</Country><MedlineTA>Healthc Q</MedlineTA><NlmUniqueID>101208192</NlmUniqueID><ISSNLinking>1710-2774</ISSNLinking></MedlineJournalInfo><CitationSubset>H</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D026683" MajorTopicYN="N">Advisory Committees</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002985" MajorTopicYN="Y">Clinical Protocols</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003422" MajorTopicYN="N">Critical Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009864" MajorTopicYN="N" Type="Geographic">Ontario</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D040841" MajorTopicYN="N">Resource Allocation</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014218" MajorTopicYN="N">Triage</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012122" MajorTopicYN="Y">Ventilators, Mechanical</DescriptorName><QualifierName UI="Q000600" MajorTopicYN="N">supply & distribution</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>9</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>9</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>9</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25191808</ArticleId><ArticleId IdType="doi">10.12927/hcq.2014.23833</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><noCountry><name sortKey="Anstey, Kyle" sort="Anstey, Kyle" uniqKey="Anstey K" first="Kyle" last="Anstey">Kyle Anstey</name><name sortKey="Bensimon, Cecile M" sort="Bensimon, Cecile M" uniqKey="Bensimon C" first="Cécile M" last="Bensimon">Cécile M. 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Greenberg</name><name sortKey="Shaul, Randi Zlotnik" sort="Shaul, Randi Zlotnik" uniqKey="Shaul R" first="Randi Zlotnik" last="Shaul">Randi Zlotnik Shaul</name><name sortKey="Sibbald, Robert" sort="Sibbald, Robert" uniqKey="Sibbald R" first="Robert" last="Sibbald">Robert Sibbald</name></noCountry><country name="Canada"><region name="Ontario"><name sortKey="Winsor, Shawn" sort="Winsor, Shawn" uniqKey="Winsor S" first="Shawn" last="Winsor">Shawn Winsor</name></region><name sortKey="Fowler, Robert" sort="Fowler, Robert" uniqKey="Fowler R" first="Robert" last="Fowler">Robert Fowler</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/GrippeCanadaV3/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000277 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000277 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= GrippeCanadaV3
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:25191808
|texte= Identifying prioritization criteria to supplement critical care triage protocols for the allocation of ventilators during a pandemic influenza.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:25191808" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a GrippeCanadaV3
| This area was generated with Dilib version V0.6.35. |  |