Advance Care Planning Notifications in General Inpatient Medicine

Advance Care Planning Clinical Trial

Official title:

Advance Care Planning Notifications in General Inpatient Medicine

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04756583
• Other study ID #: Pro00107026
• Status: Completed
• Phase: N/A
• Start date: February 15, 2021
• Est. completion date: June 30, 2023

Study information

• Verified date: January 2023
• Source: Duke University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 73
• Est. completion date: June 30, 2023
• Est. primary completion date: December 31, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• At least 18 years of age

• Clinician on the Hospital Medicine or General Internal Medicine Service at Duke University Hospital

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Advance Care Planning

Intervention

Other:
• Notification system
Email and page notification sent to clinicians for patients at high-risk of mortality in 30 days and 6 months

Locations

Country	Name	City	State
United States	Duke University Hospital	Durham	North Carolina

Sponsors (1)

Lead Sponsor	Collaborator
Duke University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of advance care planning notes as measured by electronic health record data		Up to 30 days
Secondary	Number of advance care planning codes billed as measured by electronic health record data		Up to 30 days
Secondary	Number of Palliative Care Consults (Inpatient/Outpatient) as measured by electronic health record data		Up to 90 days
Secondary	Number of patients discharged to hospice as measured by electronic health record data		Up to 30 days
Secondary	Number of patients' code status changed to Do-Not-Resuscitate as measured by electronic health record data		Up to 30 days
Secondary	Number of patient deaths as measured by electronic health record data		Up to 14 days
Secondary	Number of patient deaths as measured by electronic health record data		Up to 30 days
Secondary	Number of patient deaths as measured by electronic health record data		Up to 6 months
Secondary	Number of patient re-admitted to the hospital as measured by electronic health record data		Up to 30 days
Secondary	Number of patient re-admitted to the hospital as measured by electronic health record data		Up to 6 months
Secondary	Number of advance care planning paperwork filed as measured by electronic health record data		Up to 30 days