Impact of a prospective feedback loop on care review activities in older patients at the end of life. A stepped-wedge randomised trial.

ABSTRACT:

Background

Hospitalisation rates for older people are increasing, with end-of-life care becoming a more medicalised experience. Innovative approaches are warranted to support early identification of the end-of-life phase, communicate prognosis, provide care consistent with people's preferences, and improve the use of healthcare resources. The Intervention for Appropriate Care and Treatment (InterACT) trial aimed to increase appropriate care and treatment decisions for older people at the end of life, through implementation of a prospective feedback loop. This paper reports on the care review outcomes.

Methods

A stepped-wedge randomised controlled trial was conducted in three large acute hospitals in Queensland, Australia between May 2020 and June 2021. The trial identified o

SUBMITTER: Brown C 

PROVIDER: S-EPMC9666964 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature