{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:53:16Z","timestamp":1791499996544,"version":"4.3.4"},"reference-count":30,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journal.chestnet.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["CHEST"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.chest.2026.09.001","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T14:56:52Z","timestamp":1789052212000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Optimizing Palliative Care Delivery in the ICU"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8455-7571","authenticated-orcid":false,"given":"Jordan","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel K.","family":"Manson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Cid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myrick","family":"Shinall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9828-3648","authenticated-orcid":false,"given":"May","family":"Hua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"24","key":"10.1016\/j.chest.2026.09.001_bib1","doi-asserted-by":"crossref","first-page":"e1075","DOI":"10.1161\/CIR.0000000000001334","article-title":"Palliative and end-of-life care during critical cardiovascular illness: a scientific statement from the American Heart Association","volume":"151","author":"Bohula","year":"2025","journal-title":"Circulation"},{"issue":"11","key":"10.1016\/j.chest.2026.09.001_bib2","doi-asserted-by":"crossref","first-page":"1740","DOI":"10.1007\/s00134-024-07579-1","article-title":"European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit","volume":"50","author":"Kesecioglu","year":"2024","journal-title":"Intensive Care Med"},{"issue":"4","key":"10.1016\/j.chest.2026.09.001_bib3","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1164\/rccm.201307-1229OC","article-title":"Estimates of the need for palliative care consultation across United States intensive care units using a trigger-based model","volume":"189","author":"Hua","year":"2014","journal-title":"Am J Respir Crit Care Med"},{"issue":"1","key":"10.1016\/j.chest.2026.09.001_bib4","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.44093","article-title":"Assessment of clinical palliative care trigger status vs actual needs among critically ill patients and their family members","volume":"5","author":"Cox","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"10","key":"10.1016\/j.chest.2026.09.001_bib5","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1097\/CCM.0000000000005208","article-title":"Palliative and end-of-life care: prioritizing compassion within the ICU and beyond","volume":"49","author":"Aslakson","year":"2021","journal-title":"Crit Care Med"},{"key":"10.1016\/j.chest.2026.09.001_bib6","doi-asserted-by":"crossref","DOI":"10.1016\/j.jcrc.2022.154054","article-title":"Clinicians\u2019 views on the use of triggers for specialist palliative care in the ICU: a qualitative secondary analysis","volume":"71","author":"Murali","year":"2022","journal-title":"J Crit Care"},{"issue":"3","key":"10.1016\/j.chest.2026.09.001_bib7","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1377\/hlthaff.2010.0929","article-title":"Palliative care consultation teams cut hospital costs for Medicaid beneficiaries","volume":"30","author":"Morrison","year":"2011","journal-title":"Health Aff (Millwood)"},{"issue":"6","key":"10.1016\/j.chest.2026.09.001_bib8","doi-asserted-by":"crossref","first-page":"1530","DOI":"10.1097\/01.CCM.0000266533.06543.0C","article-title":"Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high-risk patients","volume":"35","author":"Norton","year":"2007","journal-title":"Crit Care Med"},{"issue":"4","key":"10.1016\/j.chest.2026.09.001_bib9","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1177\/1049909115627425","article-title":"Integration of palliative care advanced practice nurses into intensive care unit teams","volume":"34","author":"O\u2019Mahony","year":"2017","journal-title":"Am J Hosp Palliat Care"},{"issue":"2","key":"10.1016\/j.chest.2026.09.001_bib10","doi-asserted-by":"crossref","first-page":"e176","DOI":"10.1016\/j.jpainsymman.2021.07.027","article-title":"Trends in palliative care consultations in critically ill patient populations, 2013-2019","volume":"63","author":"Cobert","year":"2022","journal-title":"J Pain Symptom Manage"},{"issue":"3","key":"10.1016\/j.chest.2026.09.001_bib11","first-page":"190","article-title":"End-of-life care in the cardiac intensive care unit: a contemporary view from the Critical Care Cardiology Trials Network (CCCTN) Registry","volume":"11","author":"Fagundes","year":"2022","journal-title":"Eur Heart J Acute Cardiovasc Care"},{"issue":"4","key":"10.1016\/j.chest.2026.09.001_bib12","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.1016\/j.jpainsymman.2018.01.011","article-title":"The growing demand for hospice and palliative medicine physicians: Will the supply keep up?","volume":"55","author":"Lupu","year":"2018","journal-title":"J Pain Symptom Manage"},{"issue":"12","key":"10.1016\/j.chest.2026.09.001_bib13","doi-asserted-by":"crossref","first-page":"1774","DOI":"10.1089\/jpm.2022.0093","article-title":"Incidence and trends in the use of palliative care among patients with reduced, middle-range, and preserved ejection fraction heart failure","volume":"25","author":"Feder","year":"2022","journal-title":"J Palliat Med"},{"issue":"5","key":"10.1016\/j.chest.2026.09.001_bib14","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.1016\/j.chest.2021.10.032","article-title":"The role of palliative care in COPD","volume":"161","author":"Iyer","year":"2022","journal-title":"Chest"},{"issue":"6","key":"10.1016\/j.chest.2026.09.001_bib15","doi-asserted-by":"crossref","first-page":"e289","DOI":"10.1097\/CCM.0000000000006235","article-title":"Barriers and facilitators to end-of-life care delivery in ICUs: a qualitative study","volume":"52","author":"Janczewski","year":"2024","journal-title":"Crit Care Med"},{"issue":"4","key":"10.1016\/j.chest.2026.09.001_bib16","doi-asserted-by":"crossref","first-page":"e372","DOI":"10.1097\/CCM.0000000000002099","article-title":"Improving intensive care unit-based palliative care delivery: a multi-center, multidisciplinary survey of critical care clinician attitudes and beliefs","volume":"45","author":"Wysham","year":"2017","journal-title":"Crit Care Med"},{"issue":"6","key":"10.1016\/j.chest.2026.09.001_bib17","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"Int J Qual Health Care"},{"issue":"1","key":"10.1016\/j.chest.2026.09.001_bib18","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1186\/1748-5908-4-50","article-title":"Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science","volume":"4","author":"Damschroder","year":"2009","journal-title":"Implement Sci"},{"key":"10.1016\/j.chest.2026.09.001_bib19","series-title":"Thematic Analysis: A Practical Guide","author":"Braun","year":"2022"},{"issue":"8","key":"10.1016\/j.chest.2026.09.001_bib20","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1080\/0142159X.2020.1755030","article-title":"Thematic analysis of qualitative data: AMEE Guide No. 131","volume":"42","author":"Kiger","year":"2020","journal-title":"Med Teach"},{"issue":"4","key":"10.1016\/j.chest.2026.09.001_bib21","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1089\/jpm.2016.0567","article-title":"Developing a research agenda for integrating palliative care into critical care and pulmonary practice to improve patient and family outcomes","volume":"20","author":"Aslakson","year":"2017","journal-title":"J Palliat Med"},{"issue":"6","key":"10.1016\/j.chest.2026.09.001_bib22","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1377\/hlthaff.2019.00018","article-title":"Policy changes key to promoting sustainability and growth of the specialty palliative care workforce","volume":"38","author":"Kamal","year":"2019","journal-title":"Health Aff (Millwood)"},{"issue":"13","key":"10.1016\/j.chest.2026.09.001_bib23","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1056\/NEJMp1215620","article-title":"Generalist plus specialist palliative care\u2014creating a more sustainable model","volume":"368","author":"Quill","year":"2013","journal-title":"N Engl J Med"},{"issue":"9","key":"10.1016\/j.chest.2026.09.001_bib24","doi-asserted-by":"crossref","first-page":"1765","DOI":"10.1097\/CCM.0b013e3181e8ad23","article-title":"Models for structuring a clinical initiative to enhance palliative care in the intensive care unit: a report from the IPAL-ICU project (Improving Palliative Care in the ICU)","volume":"38","author":"Nelson","year":"2010","journal-title":"Crit Care Med"},{"issue":"7","key":"10.1016\/j.chest.2026.09.001_bib25","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1007\/s00134-022-06729-7","article-title":"Integrating palliative care into the ICU: a lasting and developing legacy","volume":"48","author":"Curtis","year":"2022","journal-title":"Intensive Care Med"},{"issue":"6","key":"10.1016\/j.chest.2026.09.001_bib26","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1016\/j.jpainsymman.2021.06.015","article-title":"What affects adoption of specialty palliative care in intensive care units: a qualitative study","volume":"62","author":"Hua","year":"2021","journal-title":"J Pain Symptom Manage"},{"key":"10.1016\/j.chest.2026.09.001_bib27","doi-asserted-by":"crossref","unstructured":"Mehta A, Bullock K, Gustin JL, et al. Top ten tips palliative care clinicians should know about intensive care unit consultation. J Palliat Med. https:\/\/doi.org\/10.1177\/10966218251366072","DOI":"10.1177\/10966218251366072"},{"issue":"4","key":"10.1016\/j.chest.2026.09.001_bib28","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1513\/AnnalsATS.202209-820OC","article-title":"Impact of interprofessional teamwork on aligning intensive care unit care with patient goals: a qualitative study of transactive memory systems","volume":"20","author":"Kruser","year":"2023","journal-title":"Ann Am Thorac Soc"},{"issue":"4","key":"10.1016\/j.chest.2026.09.001_bib29","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1037\/amp0000247","article-title":"Teamwork in the intensive care unit","volume":"73","author":"Ervin","year":"2018","journal-title":"Am Psychol"},{"issue":"4","key":"10.1016\/j.chest.2026.09.001_bib30","doi-asserted-by":"crossref","first-page":"e321","DOI":"10.1016\/j.jpainsymman.2022.12.011","article-title":"Lessons learned from an embedded palliative care model in the medical intensive care unit","volume":"65","author":"Mehta","year":"2023","journal-title":"J Pain Symptom Manage"}],"container-title":["CHEST"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S001236922606561X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S001236922606561X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:22:00Z","timestamp":1791498120000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S001236922606561X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":30,"alternative-id":["S001236922606561X"],"URL":"https:\/\/doi.org\/10.1016\/j.chest.2026.09.001","relation":{},"ISSN":["0012-3692"],"issn-type":[{"value":"0012-3692","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Optimizing Palliative Care Delivery in the ICU","name":"articletitle","label":"Article Title"},{"value":"CHEST","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.chest.2026.09.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 American College of Chest Physicians. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}