Critically ill ICU | Right Decisions

Healthcare Improvement Scotland has assessed this shared decision aid against the following quality criteria. The quality criteria are based on national and international standards for shared decision aids.

Criterion	Assessment	More information
Process
1.Has information available about the updating policy.	Met	But update date of 2017 has passed? Not sure why Ottawa have not archived this aid - query because info less likely than other aids to be out of date?
2.Provides an indication that the shared decision aid is underpinned by evidence.	Met	lists questionnaires used as source materials
3.Provides information about the levels of uncertainty around event or outcome probabilities, e.g. by giving a range or by using phases such as ‘our best estimate is.	N/A	does say that with life support people still do sometimes die but levels of uncertainty not discussed - there is note that things change in this situation
4.An equality impact assessment has been carried out to identify impact on inequalities groups.	No Info
Content
1.Provides a production or publication date.	Met	Mar-15
2. Provides information about country of publication.	Met	Canada
3. Describes the health condition or issue for which the decision is required.	Met	defines critical illness
4.States the decision that needs to be considered.	Met	sets out the two main options of life support and comfort care
5. Provides clear information about the potential consequences, benefits and harms of each option	Met	reasons to choose and reasons to avoid
6.Displays and frames options in a consistent, balanced and impartial way - for example, using the same sized font and neutral language	N/A	focus of guide is to facilitate exploration of attitudes beliefs and feelings behind decision making process
7. Uses everyday language that is widely understood, or simpler language where necessary.	Met	Your page (https://decisionaid.ohri.ca/doc s/das/Critically_Ill_Decision_Su pport.pdf) has an average reading ease of about 92.6 of 100. It should be easily understood by 8 to 9 year olds.
8. Shows that effort has been made to present quantitative information about risks, benefits, chance and uncertainty in a way that is understandable to people with low levels of numeracy	N/A	no quant info
9. Is presented in a digital format that complies with accessibility standards,	Met	WCAG AAA