Best Case/Worst Case-ICU: protocol for a multisite, stepped-wedge, randomised clinical trial of scenario planning to improve communication in the ICU in US trauma centres for older adults with serious injury.

ABSTRACT:

Introduction

Poor communication about serious injury in older adults can lead to treatment that is inconsistent with patient preferences, create conflict and strain healthcare resources. We developed a communication intervention called Best Case/Worst Case-intensive care unit (ICU) that uses daily scenario planning, that is, a narrative description of plausible futures, to support prognostication and facilitate dialogue among patients, their families and the trauma ICU team. This article describes a protocol for a multisite, randomised, stepped-wedge study to test the effectiveness of the intervention on the quality of communication (QOC) in the ICU.

Methods and analysis

We will follow all patients aged 50 and older admitted to the trauma ICU for 3 or more days after a serio

SUBMITTER: Stalter L 

PROVIDER: S-EPMC11367315 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature