Advance Care Planning Notifications in General Inpatient Medicine

Not Applicable

Completed

• Conditions: Advance Care Planning
• Interventions: Other: Notification system

• Registration Number: NCT04756583
• Lead Sponsor: Duke University

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.

Detailed Description

Not available

Basic Information
|
Recruitment & Eligibility
|
Study & Design
|
Trial Locations

Study Timeline

• Study First Submitted: 2021-02-12
• Study First Submitted QC: 2021-02-12
• Study Start: 2021-02-15
• Study First Posted: 2021-02-16
• Primary Completion: 2022-12-31
• Status Verified: 2023-01
• Study Completion: 2023-06-30
• Last Update Submitted: 2024-10-15
• Last Update Posted: 2024-10-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 73

Inclusion Criteria

• At least 18 years of age
• Attending Physician on the Hospital Medicine or General Internal Medicine Service at Duke University Hospital

Read More

Exclusion Criteria

• None

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Notification system	-

Primary Outcome Measures

Name	Time	Method
Proportion of advance care planning notes as measured by electronic health record data during hospitalization	Up to 30 days

Secondary Outcome Measures

Name	Time	Method
Proportion of advance care planning codes billed as measured by electronic health record data	Up to 30 days
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 patient deaths as measured by electronic health record data	Up to 6 months
Proportion of patient re-admitted to the hospital as measured by electronic health record data	Up to 6 months
Proportion of advance care planning paperwork filed as measured by electronic health record data	Up to 30 days

Trial Locations

Locations (1)

Duke University Hospital; 🇺🇸 Durham, North Carolina, United States