Table 1

Steps to shared decision-making

Step 1Engage patients (and other decision makers, if appropriate) in the decision-making process
Step 2Describe the decision and the options available, including each option’s potential benefits and risks, how the options are different and what is unknown about the options (the uncertainty)
Step 3Further assess the patient’s values and goals, specifically as they relate to the available options
Step 4Make the decision together