Dr. Brown is a medical researcher, ICU physician, and historian of religion and culture. His current project, Through the Valley of Shadows: Living Wills, Intensive Care, and Making Medicine Human (Oxford University Press, Spring 2016) outlines and advocates fundamental reforms in the way medical treatments are provided to create a truly patient and family centered intensive care unit.
In this work on a large group of patients with life-threatening infection, we used a neural network technique called “self-organizing maps” to identify four different sub-groups of patients with severe infection.
In this essay published in BMJ, I argue strongly that it’s past time to transform visitation in ICUs to make them truly patient-centered rather than clinician-centered.
In this early work, we validated the Intermountain PPQ instrument, which helps us measure patient and family experience with an ICU admission.
In this paper in AJRCCM, we proposed a definition of patient and family engagement (PFE) relevant to the intensive care unit. We feel strongly that such a definition is crucial to improving research and practice on PFE.
In this pioneering study of patients who survived shock so severe that their treatment was once thought to be futile, our group demonstrated that their long-term outcomes were reasonable. While they had residual physical disability, their mental/emotional outcomes were similar to population norms.
The National Heart Lung and Blood Institute of the National Institutes of Health has funded our work to employ big data statistical analysis techniques to identify and predict meaningful outcome phenotypes among survivors of the Acute Respiratory Distress Syndrome. This work is part of a collaboration with investigators at Johns Hopkins University and other sites.
I’m pleased to report that my new trade book, Through the Valley of Shadows: Making Intensive Care Human is now under contract with Oxford University Press. The book is due to enter production in early 2015, with a likely release in 2016. This book project explores the problems with critical care and the failings of living wills to address the real risks of contemporary ICUs. In the process, I show several ways to improve the current practice of intensive care in the USA