James Downar

Summary

Affiliation: University of Toronto
Country: Canada

Publications

  1. doi request reprint 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. doi request reprint The desirability of an Intensive Care Unit (ICU) clinician-led bereavement screening and support program for family members of ICU Decedents (ICU Bereave)
    James Downar
    Divisions of Critical Care and Palliative Care, Department of Medicine, University of Toronto, Toronto, ON, Canada M5G 2C4 Electronic address
    J Crit Care 29:311.e9-16. 2014
  3. ncbi request reprint Changes in end of life care 5 years after the introduction of a rapid response team: a multicentre retrospective study
    James Downar
    Critical Care and Palliative Care, University Health Network, Toronto, Canada Department of Medicine, University of Toronto, Toronto, Canada Electronic address
    Resuscitation 84:1339-44. 2013
  4. doi request reprint Rapid response teams, do not resuscitate orders, and potential opportunities to improve end-of-life care: a multicentre retrospective study
    James Downar
    Critical Care and Palliative Care, University Health Network, 9N 926, Toronto, Canada, M5G 2C4
    J Crit Care 28:498-503. 2013
  5. doi request reprint Survival duration among patients with a noncancer diagnosis admitted to a palliative care unit: a retrospective study
    James Downar
    University Health Network, Toronto, Ontario, Canada
    J Palliat Med 15:661-6. 2012
  6. doi request reprint Using standardized family members to teach communication skills and ethical principles to critical care trainees
    James Downar
    Faculty of Medicine, University of Toronto, Ontario, Canada
    Crit Care Med 40:1814-9. 2012
  7. pmc 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
  8. doi request reprint 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
  9. doi request reprint 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
  10. pmc Even without our biases, the outlook for prognostication is grim
    James Downar
    University Health Network, Toronto, Ontario, Canada
    Crit Care 13:168. 2009

Detail Information

Publications11

  1. doi request reprint 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. doi request reprint The desirability of an Intensive Care Unit (ICU) clinician-led bereavement screening and support program for family members of ICU Decedents (ICU Bereave)
    James Downar
    Divisions of Critical Care and Palliative Care, Department of Medicine, University of Toronto, Toronto, ON, Canada M5G 2C4 Electronic address
    J Crit Care 29:311.e9-16. 2014
    ..We determined the desirability and need for an intensive care unit-based bereavement screening and support program for these FMs...
  3. ncbi request reprint Changes in end of life care 5 years after the introduction of a rapid response team: a multicentre retrospective study
    James Downar
    Critical Care and Palliative Care, University Health Network, Toronto, Canada Department of Medicine, University of Toronto, Toronto, Canada Electronic address
    Resuscitation 84:1339-44. 2013
    ..We sought to study the effect of introducing an RRT on EOLC at our institutions, and compare the EOLC care received by patients who were consulted by the RRT with that of patients who were not consulted by the RRT...
  4. doi request reprint Rapid response teams, do not resuscitate orders, and potential opportunities to improve end-of-life care: a multicentre retrospective study
    James Downar
    Critical Care and Palliative Care, University Health Network, 9N 926, Toronto, Canada, M5G 2C4
    J Crit Care 28:498-503. 2013
    ..To learn more about the role of the RRT in EOLC at our institutions, we conducted a retrospective review...
  5. doi request reprint Survival duration among patients with a noncancer diagnosis admitted to a palliative care unit: a retrospective study
    James Downar
    University Health Network, Toronto, Ontario, Canada
    J Palliat Med 15:661-6. 2012
    ..Anecdotally, PCUs further restrict admission of patients with noncancer diagnoses out of fear that they will "oversurvive" and reduce bed availability. This raises concerns that noncancer patients have unequal access to PCU resources...
  6. doi request reprint Using standardized family members to teach communication skills and ethical principles to critical care trainees
    James Downar
    Faculty of Medicine, University of Toronto, Ontario, Canada
    Crit Care Med 40:1814-9. 2012
    ..We sought to determine the effectiveness of standardized family members for improving communication skills and ethical and legal knowledge of senior intensive care unit trainees...
  7. pmc 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
    ....
  8. doi request reprint 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...
  9. doi request reprint 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
    ..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...
  10. pmc 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...
  11. pmc 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...