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June 12, 2026Critical Care Medicine

Perceived Inappropriateness of Intensive Care Treatment Among Clinicians: A Cross-Sectional Nationwide Survey on the Prevalence, Associated Factors, and Outcomes

Gijs Hesselink Bart Ramakers Bernard G. Fikkers Renze Jongstra Diederik van Dijk Lilian Vloet Ferishta Bakhshi‐Raiez Dominique Benoît Marieke Zegers on behalf of the Perceived Inappropriateness of Care Netherlands-Intensive Care Unit (PICNL-ICU) Study Group

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Key Points

Evaluate perceived inappropriateness of care among ICU clinicians and associated factors impacting patient outcomes.
Single-day cross-sectional survey involving 1058 clinicians across 47 Dutch ICUs.
Questionnaires assessed perceived inappropriateness of care and related factors.
Follow-up data included outcomes for 525 patients treated on the survey day.
26% of clinicians reported perceived inappropriateness of care for at least one patient.
Higher PIC risk associated with being a nurse and working in non-decision-making cultures.
Perceived inappropriateness linked to increased risk of death and adverse outcomes (aOR, 3.86; p=0.02).

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Implication

Cross-sectional survey evaluates perceived inappropriateness in ICU clinicians, indicating potential impact on patient outcomes.

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Cite This Study

Hesselink et al. (2026) studied this question.

synapsesocial.com/papers/6a2e45d5b1cc60ccdea8ace9 https://doi.org/10.1097/ccm.0000000000007241

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