Improving communication about goals of care for hospitalized patients with serious illness: Study protocol for two complementary randomized trials.

ABSTRACT:

Background

Although goals-of-care discussions are important for high-quality palliative care, this communication is often lacking for hospitalized older patients with serious illness. Electronic health records (EHR) provide an opportunity to identify patients who might benefit from these discussions and promote their occurrence, yet prior interventions using the EHR for this purpose are limited. We designed two complementary yet independent randomized trials to examine effectiveness of a communication-priming intervention (Jumpstart) for hospitalized older adults with serious illness.

Methods

We report the protocol for these 2 randomized trials. Trial 1 has two arms, usual care and a clinician-facing Jumpstart, and is a pragmatic trial assessing outcomes with the EHR only (n

SUBMITTER: Curtis JR 

PROVIDER: S-EPMC10042145 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature