Advance Care Planning
Conditions
Brief summary
This study will evaluate the impact of and response by physicians on Hospital Medicine/General Internal Medicine service to a notification identifying seriously ill patients at high risk of death within 30 days as well as within 6 months in a cluster randomized control trial.
Interventions
OTHERNotification system
Email and page notification sent to clinicians for patients at high-risk of mortality in 30 days and 6 months
Sponsors
Duke University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* At least 18 years of age * Attending Physician on the Hospital Medicine or General Internal Medicine Service at Duke University Hospital
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of advance care planning notes as measured by electronic health record data during hospitalization | Up to 30 days |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of Palliative Care Consults (Inpatient/Outpatient) as measured by electronic health record data | Up to 90 days |
| Proportion of patients discharged to hospice as measured by electronic health record data | Up to 30 days |
| Proportion of patients' code status changed to Do-Not-Resuscitate as measured by electronic health record data | Up to 30 days |
| Proportion of advance care planning codes billed as measured by electronic health record data | Up to 30 days |
| Proportion of patient re-admitted to the hospital as measured by electronic health record data | Up to 30 days |
| Proportion of advance care planning paperwork filed as measured by electronic health record data | Up to 30 days |
| Proportion of patient deaths as measured by electronic health record data | Up to 14 days |
Countries
United States
Outcome results
None listed