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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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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental |
| |
| Control | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Notification system | Other | Email and page notification sent to clinicians for patients at high-risk of mortality in 30 days and 6 months |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of advance care planning notes as measured by electronic health record data during hospitalization | Up to 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of advance care planning codes billed as measured by electronic health record data | Up to 30 days | |
| Proportion of Palliative Care Consults (Inpatient/Outpatient) as measured by electronic health record data | Up to 90 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David Casarett, MD | Duke University | Principal Investigator |
| Jessica Ma, MD | Duke University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Duke University Hospital | Durham | North Carolina | 27705 | United States |
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| Proportion of patients discharged to hospice as measured by electronic health record data | Up to 30 days |
| Proportion of patients' code status changed to Do-Not-Resuscitate as measured by electronic health record data | Up to 30 days |
| Proportion of patient deaths as measured by electronic health record data | Up to 14 days |
| Proportion of patient deaths as measured by electronic health record data | Up to 30 days |
| Proportion of patient deaths as measured by electronic health record data | Up to 6 months |
| Proportion of patient re-admitted to the hospital as measured by electronic health record data | Up to 30 days |
| Proportion of patient re-admitted to the hospital as measured by electronic health record data | Up to 6 months |
| Proportion of advance care planning paperwork filed as measured by electronic health record data | Up to 30 days |