NCT03872154

Checklist-guided Shared Decision-making for Code Status Discussions in Medical Inpatients.

Checklist-guided Shared Decision-making for Code Status Discussions in Medical Inpatients. A Cluster-randomized Multicenter Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 2,663 (actual)
• Sponsor: University Hospital, Basel, Switzerland · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

This cluster-randomized, multicenter trial is designed to investigate the effect of checklist-guided shared decision-making including decision aids and communication of expected outcome on patients' decision regarding their code status, and at the same time, if it improves decision-making quality as judged by patient's decisional comfort, patient knowledge and involvement in decision-making and patient satisfaction. Patients in whom resuscitation is considered as futile will be treated separately in an ancillary project. In these patients a checklist to communicate the futility and the medical consequences will be used.

Conditions

• Code Status Discussions With Medical In-patients

Interventions

Type	Name	Description
OTHER	Checklist-guided shared decision-making	Physicians will receive a checklist and a decision aid for shared decision-making during code status discussion. Ancillary project: Physicians will receive a checklist to communicate the futility.

Timeline

• Start date: 2019-06-13
• Primary completion: 2023-03-01
• Completion: 2023-04-14
• First posted: 2019-03-13
• Last updated: 2024-03-08

Locations

1 site across 1 country: Switzerland