Study protocol for a randomized controlled trial: Integrating the 'Time-limited Trial' in the emergency department.

ABSTRACT:

Introduction

Time-limited trial (TLT) is a structured approach between clinicians and seriously ill patients or their surrogates to discuss patients' values and preferences, prognosis, and shared decision-making to use specific therapies for a prespecified period of time in the face of prognostic uncertainty. Some evidence exists that this approach may lead to more patient-centered care in the intensive care unit; however, it has never been evaluated in the emergency department (ED). The study protocol aims to assess the feasibility and acceptability of TLTs initiated in the ED.

Methods and analysis

We will conduct a parallel group, clinician-level, pilot randomized clinical trial among 40 ED clinicians. We will measure feasibility (e.g., the time it takes to conduct the TLT

SUBMITTER: Hashimoto T 

PROVIDER: S-EPMC11666031 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature