Primary Palliative Care Education, Training, and Technical Support for Emergency Medicine

Emergencies Clinical Trial

— PRIM-ER  

Official title:

Primary Palliative Care Education, Training, and Technical Support for Emergency Medicine

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03424096
• Other study ID #: 17-01790
• Status: Not yet recruiting
• Phase: N/A
• First received: January 30, 2018
• Last updated: February 5, 2018
• Start date: September 2018
• Est. completion date: February 2023

Study information

• Verified date: February 2018
• Source: New York University School of Medicine
• Contact: Nicole Tang
• Phone: 646 201 4033
• Email: nicole.tang[@]nyumc.org
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this cluster-randomized stepped wedge design is to test the effectiveness of primary palliative care education, training, and technical support for emergency medicine (PRIM-ER) in 35 Emergency Departments (EDs). PRIM-ER includes four core components: 1) evidence-based multidisciplinary primary palliative care education, 2) simulation-based workshops on communication in serious illness, 3) clinical decision support, and 4) provider audit and feedback.

Description:

The specific aims of this study are divided into a UG3 phase and a UH3 phase.

In the UG3 phase, investigator will: 1) tailor PRIM-ER to the emergency provider workforce and a more diverse ED context using an agile implementation framework approach; and 2) pilot test PRIM-ER at two sites for feasibility, fidelity, and usability.

In the UH3 phase, investigators will: 3) implement PRIM-ER in a cluster-randomized, stepped wedge design in the remaining 33 EDs.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 450
• Est. completion date: February 2023
• Est. primary completion date: February 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 100 Years

Eligibility

Inclusion Criteria:

• Eligible key informants will be a member of the local palliative care team and a local representative from emergency medicine, nursing, and social work/case management, and informatics from each of the 18 health systems.

• Eligible physicians, physician assistants, and nurse practitioners will include emergency physicians, physician assistants, and nurse practitioners employed as full-time emergency providers in any of the participating EDs.

• Eligible nurses will include full-time emergency nurses employed as full-time emergency nurses at any of the participating EDs.

• Eligible social workers and case managers will include full-time emergency social workers or case managers employed by any of the health systems.

Exclusion Criteria:

Related Conditions & MeSH terms

• Emergencies

Intervention

Behavioral:
• Primary Palliative Care Education
Palliative care is medical care that specializes in pain and symptom management. Palliative care is also referred to as supportive care.

Locations

Country	Name	City	State
United States	New York University School of Medicine	New York	New York

Sponsors (2)

Lead Sponsor	Collaborator
New York University School of Medicine	National Institutes of Health (NIH)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Measure of Usability using MORAE Software to analyze questions from CDS system	MORAE software will be utilized to perform screen captures and audio record participants verbalizing their actions, thoughts, and feelings as they progress through a simulated Clinical Decision Support (CDS) system	8 Hours
Primary	Measure of Feasibility using MORAE Software to analyze questions from CDS system	Data analysis to identify local barriers and facilitators of ED-based palliative care in serious illness	8 Hours