Pain Clinical Trial
— BEACONOfficial title:
Intervention to Improve Care at Life's End in VA Medical Centers
Verified date | April 2015 |
Source | VA Office of Research and Development |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Federal Government |
Study type | Interventional |
The BEACON trial (Best Practices for End-of-Life Care for Our Nations' Veterans) was a six-site implementation study to evaluate a multi-component, education-based intervention to improve the quality of end-of-life care provided in VA Medical Centers.
Status | Completed |
Enrollment | 78 |
Est. completion date | September 2013 |
Est. primary completion date | March 2011 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - Aim 1: Not applicable. Patients were deceased. - Aim 2: After-death interviews with next of kin: must be willing and able to participate in after-death interview at local VA Medical Center. Exclusion Criteria: |
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Health Services Research
Country | Name | City | State |
---|---|---|---|
United States | Birmingham VA Medical Center | Birmingham | Alabama |
Lead Sponsor | Collaborator |
---|---|
VA Office of Research and Development |
United States,
Bailey FA, Allen RS, Williams BR, Goode PS, Granstaff S, Redden DT, Burgio KL. Do-not-resuscitate orders in the last days of life. J Palliat Med. 2012 Jul;15(7):751-9. doi: 10.1089/jpm.2011.0321. Epub 2012 Apr 26. — View Citation
Bailey FA, Williams BR, Goode PS, Woodby LL, Redden DT, Johnson TM 2nd, Taylor JW, Burgio KL. Opioid pain medication orders and administration in the last days of life. J Pain Symptom Manage. 2012 Nov;44(5):681-91. doi: 10.1016/j.jpainsymman.2011.11.006. — View Citation
Williams BR, Woodby LL, Bailey FA, Burgio KL. Identifying and responding to ethical and methodological issues in after-death interviews with next-of-kin. Death Stud. 2008;32(3):197-236. doi: 10.1080/07481180701881297. — View Citation
Woodby LL, Williams BR, Wittich AR, Burgio KL. Expanding the notion of researcher distress: the cumulative effects of coding. Qual Health Res. 2011 Jun;21(6):830-8. doi: 10.1177/1049732311402095. Epub 2011 Mar 10. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Presence of Order for Opioid Pain Medication | Presence of order for opioid pain medication at time of death based on abstraction of electronic medical record | Pre and Post Intervention | No |
Secondary | Do Not Resuscitate Order | Presence of a Do Not Resuscitate order at time of death based on abstraction of electronic medical record | Pre and Post Intervention | No |
Secondary | Number of Patients Who Died in ICU | Location of death (ICU vs. other) based on abstraction of electronic medical record | Pre and Post Intervention | No |
Secondary | Individuals With a Nasogastric Tube | Presence of nasogastric tube based on abstraction of electronic medical record | Pre and Post Intervention | No |
Secondary | Individuals With an Intravenous Line | Presence of intravenous line infusing at time of death based on abstraction of electronic medical record | Pre and Post Intervention | No |
Secondary | Number of Individuals Who Died in Restraints | Presence of restraints at or near time of death at time of death based on abstraction of electronic medical record | Pre and Post Intervention | No |
Secondary | Individuals Administered of Opioid Medication | Administration of opioid medication based on abstraction of medical record | Pre and Post Intervention | No |
Secondary | Individuals With an Order for Antipsychotic Medication | Order for antipsychotic medication based on abstraction of medical record | Pre and Post Intervention | No |
Secondary | Individuals Administered Antipsychotic Medication | Administration of antipsychotic medication based on abstraction of medical record | Pre and Post Intervention | No |
Secondary | Individuals With an Order for Benzodiazepine Medication | Order for benzodiazepine medication based on abstraction of medical record | Pre and Post Intervention | No |
Secondary | Individuals Who Received Benzodiazepine Medication | Administration of benzodiazepine medication based on abstraction of medical record | Pre and Post Intervention | No |
Secondary | Individuals Who Received Scopolamine | Administration of scopolamine (for death rattle) based on abstraction of medical record | Pre and Post Intervention | No |
Secondary | Sublingual Administration | Sublingual administration of medication based on abstraction of medical record | Pre and Post Intervention | No |
Secondary | Individuals With Pastoral Care Visit | Pastoral Care Visit based on abstraction of medical record | Pre and Post Intervention | No |
Secondary | Individuals With an Advance Directive | Presence of advance directive based on abstraction of medical record | Pre and Post Intervention | No |
Secondary | Individuals With a Palliative Care Consultation | Palliative Care Consultation based on abstraction of medical record | Pre and Post Intervention | No |
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