RecruitingNot ApplicableNCT03833622

Shared Decision Making to Improve Goals of Care in the ED

Shared Decision Making to Improve Goals of Care Discussions in the Emergency Department


Sponsor

Mayo Clinic

Enrollment

230 participants

Start Date

Mar 28, 2018

Study Type

INTERVENTIONAL

Conditions

Summary

This project will develop and refine a shared decision making (SDM) intervention (decision aid tool) to improve and normalize high quality end of life discussions in the Emergency Department (ED) setting.


Eligibility

Min Age: 60 Years

Inclusion Criteria6

  • Patients presenting to Mayo Clinic Rochester, Saint Marys' Emergency Department,
  • Patients at high risk for critical illness as determined by an Elderly Risk Assessment (ERA) score ≥ 16 or as determined by provider discretion,
  • ≥ 60 years of age,
  • Ability to provide informed consent,
  • Medically stable at the time of enrollment,
  • Able to participate without causing a delay in care.

Exclusion Criteria5

  • GCS scores < 15,
  • Signs of altered mental status,
  • Known to be pregnant,
  • Incarcerated or in Police Custody,
  • Communication barriers such as visual or hearing impairment that may preclude use of the decision aid.

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Interventions

OTHERShared Decision Aid Assessment

Provide feedback on a shared decision making tool to aid in discussion on goals of care in the emergency department


Locations(3)

Mayo Clinic in Arizona

Scottsdale, Arizona, United States

Mayo Clinic in Florida

Jacksonville, Florida, United States

Mayo Clinic in Rochester

Rochester, Minnesota, United States

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NCT03833622