Research Topics
| Douglas B WhiteSummaryAffiliation: University of California Country: USA Publications
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Publications
Who should receive life support during a public health emergency? Using ethical principles to improve allocation decisionsDouglas B White
Program in Medical Ethics, School of Medicine, University of California San Francisco, 521 Parnassus Avenue, San Francisco, CA 94143 0903, USA
Ann Intern Med 150:132-8. 2009..We discuss strategies to engage the public in setting the priorities that will guide allocation of scarce life-sustaining treatments during a public health emergency...
Palliative care in the intensive care unit: barriers, advances, and unmet needsDouglas B White
Division of Pulmonary and Critical Care Medicine and Program in Medical Ethics, University of California, 521 Parnassus Avenue, Suite C 126, San Francisco, CA 94143 0903, USA
Crit Care Clin 20:329-43, vii. 2004..As ongoing research efforts yield new insights, our ability to practice evidence-based palliative care in the ICU will grow, and new avenues for improvement will become evident...- Care near the end-of-life in critically ill patients: a North American perspectiveDouglas B White
Division of Pulmonary and Critical Care Medicine, University of California, San Francisco School of Medicine, San Francisco, California 94143 0903, USA
Curr Opin Crit Care 11:610-5. 2005..In this article, we present a North American perspective on recent research and quality improvement initiatives in this field... - The language of prognostication in intensive care unitsDouglas B White
Program in Medical Ethics, Department of Medicine, University of California, San Francisco, CA, USA
Med Decis Making 30:76-83. 2010..Rationale. Although misunderstandings about prognosis are common in intensive care units (ICUs), little is known about how physicians actually communicate prognostic information... - Life support for patients without a surrogate decision maker: who decides?Douglas B White
University of California, San Francisco, and San Francisco General Hospital, San Francisco, California 94143 0903, USA
Ann Intern Med 147:34-40. 2007..Physicians in intensive care units have withdrawn life support in incapacitated patients who lack surrogate decision makers and advance directives, yet little is known about how often this occurs or under what circumstances... - Toward shared decision making at the end of life in intensive care units: opportunities for improvementDouglas B White
Division of Pulmonary and Critical Care Medicine and Program in Medical Ethics, Department of Medicine, School of Medicine, University of California, San Francisco, CA 94143 0903, USA
Arch Intern Med 167:461-7. 2007..In North America, families generally wish to be involved in end-of-life decisions when the patient cannot participate, yet little is known about the extent to which shared decision making occurs in intensive care units... - Hope, truth, and preparing for death: perspectives of surrogate decision makersLatifat Apatira
University of California, San Francisco, and San Francisco General Hospital, San Francisco, California 94143, USA
Ann Intern Med 149:861-8. 2008..Although many physicians worry that openly discussing a poor prognosis will cause patients and families to lose hope, surrogate decision makers' perspectives on this topic are largely unknown... - An empirical study of surrogates' preferred level of control over value-laden life support decisions in intensive care unitsSara K Johnson
Department of Medicine, University of California, San Francisco, CA, USA
Am J Respir Crit Care Med 183:915-21. 2011..Despite ongoing ethical debate concerning who should control decisions to discontinue life support for incapacitated, critically ill patients, the perspectives of surrogate decision makers are poorly understood... - Prognostication during physician-family discussions about limiting life support in intensive care unitsDouglas B White
Division of Pulmonary and Critical Care Medicine, Program in Medical Ethics, Department of Medicine, University of California, San Francisco, USA
Crit Care Med 35:442-8. 2007.... - Empathy and life support decisions in intensive care unitsR Brac Selph
The Wright Institute, Berkeley, CA, USA
J Gen Intern Med 23:1311-7. 2008..Although experts advocate that physicians should express empathy to support family members faced with difficult end-of-life decisions for incapacitated patients, it is unknown whether and how this occurs in practice... - A history of ethics and law in the intensive care unitJohn M Luce
Department of Medicine, University of California, 505 Parnassus Avenue, San Francisco, CA 94143, USA
Crit Care Clin 25:221-37, x. 2009..Advancement of the ethical principle of respect for patient autonomy in ICUs increasingly is in conflict with physicians' concern about their own prerogatives and with the just distribution of medical resources... - Surrogate decision makers' responses to physicians' predictions of medical futilityLucas S Zier
University of California, Berkeley University of California, School of Public Health, University of California, Berkeley, CA 94143 0903, USA
Chest 136:110-7. 2009.... 
Development and pilot testing of a decision aid for surrogates of patients with prolonged mechanical ventilationChristopher E Cox
Department of Medicine, Duke University, Durham, NC, USA
Crit Care Med 40:2327-34. 2012..We aimed to develop and pilot test a decision aid for shared decision makers of patients undergoing prolonged mechanical ventilation...- Surrogate decision-makers' perspectives on discussing prognosis in the face of uncertaintyLeah R Evans
Division of Pulmonary and Critical Care Medicine, University of California School of Medicine, San Francisco, California 94143 0903, USA
Am J Respir Crit Care Med 179:48-53. 2009..Many physicians are reluctant to discuss a patient's prognosis when there is significant prognostic uncertainty... - A randomized trial of two methods to disclose prognosis to surrogate decision makers in intensive care unitsSusan J Lee Char
Department of Surgery, University of California, San Francisco, School of Medicine, USA
Am J Respir Crit Care Med 182:905-9. 2010..Surrogate decision makers and clinicians often have discordant perceptions about a patient's prognosis. There is a paucity of empirical data to guide communication about prognosis... - Are physicians' recommendations to limit life support beneficial or burdensome? Bringing empirical data to the debateDouglas B White
Division of Pulmonary and Critical Care Medicine, University of California, San Francisco, CA 94143, USA
Am J Respir Crit Care Med 180:320-5. 2009..Although there is a growing belief that physicians should routinely provide a recommendation to surrogates during deliberations about withdrawing life support, there is a paucity of empirical data on surrogates' perspectives on this topic... - The pressure to withhold or withdraw life-sustaining therapy from critically ill patients in the United StatesJohn M Luce
Division of Pulmonary and Critical Care Medicine, San Francisco General Hospital, 1001 Potrero Avenue, Room 5 K1, San Francisco, CA 94110, USA
Am J Respir Crit Care Med 175:1104-8. 2007..The pressure also may damage communications and cause resentment. If communications cannot be improved, and if the pressure cannot be relieved, a due process approach to conflict resolution that involves other parties may be required... - Clinical nihilism in neuroemergenciesJ Claude Hemphill
Department of Neurology, San Francisco General Hospital, University of California, San Francisco, CA 94110, USA
Emerg Med Clin North Am 27:27-37, vii-viii. 2009.... - Practical guidance for evidence-based ICU family conferencesJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, Box 359762, University of Washington, 325 Ninth Ave, Seattle, WA 98104 2499, USA
Chest 134:835-43. 2008..This communication also requires a balance between adhering to processes of care that are associated with improved outcomes and individualizing communication to the unique needs of the family... - Doubt and belief in physicians' ability to prognosticate during critical illness: the perspective of surrogate decision makersLucas S Zier
UC Berkeley UC San Francisco Joint Medical Program, School of Public Health, University of California, Berkeley, CA, USA
Crit Care Med 36:2341-7. 2008..We sought to determine: 1) surrogates' beliefs about whether physicians can accurately prognosticate for critically ill patients; and 2) how individuals use prognostic information in their role as surrogate decision-makers... - Noninvasive positive pressure ventilation in critical and palliative care settings: understanding the goals of therapyJ Randall Curtis
Department of Medicine, University of Washington, Seattle, WA, USA
Crit Care Med 35:932-9. 2007..Therefore, the Society of Critical Care Medicine charged this Task Force with developing an approach for considering use of NPPV for patients who choose to forego endotracheal intubation... - Decisions to limit life-sustaining treatment for critically ill patients who lack both decision-making capacity and surrogate decision-makersDouglas B White
Division of Pulmonary and Critical Care Medicine, University of California, San Francisco School of Medicine, San Francisco, CA, USA
Crit Care Med 34:2053-9. 2006..Decisions to limit life support were generally made by physicians without judicial or institutional review. Further research and debate are needed to develop optimal decision-making strategies for these difficult cases... - Development and preliminary evaluation of a telephone-based coping skills training intervention for survivors of acute lung injury and their informal caregiversChristopher E Cox
Duke University Medical Center, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Duke University, Box 102043, Durham, NC 27710, USA
Intensive Care Med 38:1289-97. 2012..We aimed to develop and pilot test a telephone-based coping skills training intervention for this population... - Surrogate decision makers' interpretation of prognostic information: a mixed-methods studyLucas S Zier
University of California, San Francisco, San Francisco, California 94143 0119, USA
Ann Intern Med 156:360-6. 2012..Little is known about why surrogate decision makers for patients with advanced illness often have overly optimistic expectations about prognosis... - Symptom experiences of family members of intensive care unit patients at high risk for dyingJennifer L McAdam
Nursing Department, Dominican University of California, San Rafael, CA, USA
Crit Care Med 38:1078-85. 2010..To describe the symptom experiences of family members of patients at high risk for dying in the intensive care unit and to assess risk factors associated with higher symptom burden... - Studying physician-patient communication in the acute care setting: the hospitalist rapport studyWendy G Anderson
Division of Hospital Medicine, Department of Medicine, University of California, San Francisco, CA 94143 0903, USA
Patient Educ Couns 82:275-9. 2011..To assess the feasibility of studying physician-patient communication in the acute care setting... - The brave new world revealed: wrestling with reality, rationing, and rationalityConstantine A Manthous
Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
Semin Respir Crit Care Med 33:427-30. 2012.... - A multicenter mortality prediction model for patients receiving prolonged mechanical ventilationShannon S Carson
Division of Pulmonary and Critical Care Medicine, Cecil B Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC, USA
Crit Care Med 40:1171-6. 2012..We sought to refine a mortality prediction model for patients requiring prolonged ventilation using a multicentered study design... - Establishing an evidence base for physician-family communication and shared decision making in the intensive care unitDouglas B White
Crit Care Med 34:2500-1. 2006 - Ethics consultation in the intensive care unitDouglas B White
JAMA 290:3191; author reply 3191-2. 2003