James Downar

Summary

Affiliation: University of Toronto
Country: Canada

Publications

  1. ncbi Ethical considerations for classifying patients as 'palliative' when calculating Hospital Standardised Mortality Ratios
    James Downar
    Department of Medicine, University Health Network, Toronto, Canada
    J Med Ethics 36:387-90. 2010
  2. ncbi Pro/con debate: should synthetic colloids be used in patients with septic shock?
    James Downar
    Department of Medicine, Divisions of Critical Care and Palliative Medicine, University of Toronto, Toronto, Canada
    Crit Care 13:203. 2009
  3. ncbi Even without our biases, the outlook for prognostication is grim
    James Downar
    University Health Network, Toronto, Ontario, Canada
    Crit Care 13:168. 2009
  4. ncbi What should we say when discussing "code status" and life support with a patient? A Delphi analysis
    James Downar
    Division of Palliative Care, Toronto General Hospital, Toronto, Ontario, Canada
    J Palliat Med 13:185-95. 2010
  5. ncbi Palliating a pandemic: "all patients must be cared for"
    James Downar
    Department of Medicine, University of Toronto, Toronto, Ontario M5G 2C4, Canada
    J Pain Symptom Manage 39:291-5. 2010
  6. ncbi Why do patients agree to a "Do not resuscitate" or "Full code" order? Perspectives of medical inpatients
    James Downar
    Department of Medicine, University of Toronto, 200 Elizabeth St 9N 926, Toronto M5G 2C4, Canada
    J Gen Intern Med 26:582-7. 2011

Detail Information

Publications6

  1. ncbi Ethical considerations for classifying patients as 'palliative' when calculating Hospital Standardised Mortality Ratios
    James Downar
    Department of Medicine, University Health Network, Toronto, Canada
    J Med Ethics 36:387-90. 2010
    ..Finally, we propose an organisational ethics framework, and six specific suggestions for hospitals to use when publishing statistics such as the HSMR...
  2. ncbi Pro/con debate: should synthetic colloids be used in patients with septic shock?
    James Downar
    Department of Medicine, Divisions of Critical Care and Palliative Medicine, University of Toronto, Toronto, Canada
    Crit Care 13:203. 2009
    ..You have been asked by the hospital chief of staff whether there should be a suspension of the use of synthetic colloids until further information is available. You need to make a decision...
  3. ncbi Even without our biases, the outlook for prognostication is grim
    James Downar
    University Health Network, Toronto, Ontario, Canada
    Crit Care 13:168. 2009
    ..But even if we were flawless prognosticators, we would still be left with the larger ethical problem of what to do with prognostic information. In order to translate prognosis into recommendation, we need to know about patient values...
  4. ncbi What should we say when discussing "code status" and life support with a patient? A Delphi analysis
    James Downar
    Division of Palliative Care, Toronto General Hospital, Toronto, Ontario, Canada
    J Palliat Med 13:185-95. 2010
    ..quot; Some authors have published effective communication styles, but there are currently no published guidelines for the content of a discussion about resuscitation or goals of care...
  5. ncbi Palliating a pandemic: "all patients must be cared for"
    James Downar
    Department of Medicine, University of Toronto, Toronto, Ontario M5G 2C4, Canada
    J Pain Symptom Manage 39:291-5. 2010
    ..The authors present a mathematical and ethical justification for a palliative care surge plan and outline some of the key elements that should be included in such a plan...
  6. ncbi Why do patients agree to a "Do not resuscitate" or "Full code" order? Perspectives of medical inpatients
    James Downar
    Department of Medicine, University of Toronto, 200 Elizabeth St 9N 926, Toronto M5G 2C4, Canada
    J Gen Intern Med 26:582-7. 2011
    ....