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This study highlighted the complexity of professional and patient communication in decision-making around referral and admissions to intensive care, with a decision support intervention showing some improved communication with patients.

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Chris Bassford 1,2,*, Frances Griffiths 1, Mia Svantesson 3, Mandy Ryan 4, Nicolas Krucien 4, Jeremy Dale 1, Sophie Rees 1, Karen Rees 1, Agnieszka Ignatowicz 1,5, Helen Parsons 1, Nadine Flowers 1, Zoe Fritz 1,6,7, Gavin Perkins 1,8, Sarah Quinton 1,4, Sarah Symons 9, Catherine White 9, Huayi Huang 1, Jake Turner 1, Mike Brooke 1, Aimee McCreedy 1, Caroline Blake 1, Anne Slowther 1

1 Warwick Medical School, University of Warwick, Coventry, UK
2 Department of Anaesthesia, Critical Care and Pain, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK
3 University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
4 Health Economics Research Unit, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
5 Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
6 Department of Acute Medicine, Cambridge University Hospitals NHS Trust, Cambridge, UK
7 The Healthcare Improvement Studies (THIS) Institute, University of Cambridge, Cambridge, UK
8 Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK
9 Patient and public representative, ,
* Corresponding author Email: christopher.bassford@uhcw.nhs.uk

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