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OpenTrials
Completed

NCT Number: NCT04756583

Advance Care Planning Notifications in General Inpatient Medicine

This study will evaluate the impact of and response by physicians on Hospital Medicine/General Internal Medicine service to a notification identifying seriously ill patients at high risk of death within 30 days as well as within 6 months in a cluster randomized control trial.

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Key information

Conditions

Advance Care Planning

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Duke University Hospital

Durham, North Carolina, 27705, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • At least 18 years of age
  • Attending Physician on the Hospital Medicine or General Internal Medicine Service at Duke University Hospital

Exclusion criteria

  • None

Treatment and study plan

Notification system

Other

Email and page notification sent to clinicians for patients at high-risk of mortality in 30 days and 6 months

Primary outcomes

  1. Proportion of advance care planning notes as measured by electronic health record data during hospitalization

    Time frame: Up to 30 days

Secondary outcomes

  1. Proportion of advance care planning codes billed as measured by electronic health record data

    Time frame: Up to 30 days

  2. Proportion of Palliative Care Consults (Inpatient/Outpatient) as measured by electronic health record data

    Time frame: Up to 90 days

  3. Proportion of patients discharged to hospice as measured by electronic health record data

    Time frame: Up to 30 days

  4. Proportion of patients' code status changed to Do-Not-Resuscitate as measured by electronic health record data

    Time frame: Up to 30 days

  5. Proportion of patient deaths as measured by electronic health record data

    Time frame: Up to 14 days

  6. Proportion of patient deaths as measured by electronic health record data

    Time frame: Up to 30 days

  7. Proportion of patient deaths as measured by electronic health record data

    Time frame: Up to 6 months

  8. Proportion of patient re-admitted to the hospital as measured by electronic health record data

    Time frame: Up to 30 days

  9. Proportion of patient re-admitted to the hospital as measured by electronic health record data

    Time frame: Up to 6 months

  10. Proportion of advance care planning paperwork filed as measured by electronic health record data

    Time frame: Up to 30 days

Sponsors and collaborators

Lead sponsor

Duke University

Other

Registry information

Important dates

Study start
2021
Primary completion
2022
Study completion
2023
First posted
Feb 16, 2021
Registry last updated
Oct 17, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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