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Quality Improvement Project for Advance Care Planning Tool in Hospital Medicine

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Duke University

Status

Completed

Conditions

Advance Care Planning

Treatments

Other: Advance Care Planning Discussion

Study type

Observational

Funder types

Other

Identifiers

NCT04296136
Pro00104527

Details and patient eligibility

About

Hospitalized patients and their families are often unprepared regarding end-of-life care. Even patients with high risk of mortality within the index admission or 30 days after admission often do not have clearly defined goals of care. This lack of clarity can create difficult scenarios for patients, their families, and care providers. Lack of communication and documentation of these goals can lead to unnecessary tests, procedures, and readmissions. By creating advanced care planning education for the hospital medicine department, a standardized note template, and EMR utilization for storage and reference of patient's goals of care documentation we aim to facilitate the conveyance of patient's wishes/preferences across different care providers and across separate encounters within the healthcare system. For this study, we will use a pre-post study design to evaluate the implementation of this quality improvement intervention.

Enrollment

743 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • All patients admitted to the inpatient medicine service with high risk of mortality.

Exclusion criteria

  • Involuntary commitment during the index admission

Trial design

743 participants in 2 patient groups

High risk of mortality
Description:
Adult patients admitted to the hospital medicine service with a high risk of mortality
Treatment:
Other: Advance Care Planning Discussion
High risk of mortality (pre-implementation)
Description:
Adult patients admitted to the hospital medicine service with a high risk of mortality

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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