Primary Palliative Care Education, Training, and Technical Support for Emergency Medicine



Status:Not yet recruiting
Conditions:Hospital
Therapuetic Areas:Other
Healthy:No
Age Range:18 - 100
Updated:2/8/2018
Start Date:September 2018
End Date:February 2023
Contact:Nicole Tang
Email:nicole.tang@nyumc.org
Phone:646 201 4033

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The purpose of this cluster-randomized stepped wedge design is to test the effectiveness of
primary palliative care education, training, and technical support for emergency medicine
(PRIM-ER) in 35 Emergency Departments (EDs). PRIM-ER includes four core components: 1)
evidence-based multidisciplinary primary palliative care education, 2) simulation-based
workshops on communication in serious illness, 3) clinical decision support, and 4) provider
audit and feedback.

The specific aims of this study are divided into a UG3 phase and a UH3 phase.

In the UG3 phase, investigator will: 1) tailor PRIM-ER to the emergency provider workforce
and a more diverse ED context using an agile implementation framework approach; and 2) pilot
test PRIM-ER at two sites for feasibility, fidelity, and usability.

In the UH3 phase, investigators will: 3) implement PRIM-ER in a cluster-randomized, stepped
wedge design in the remaining 33 EDs.

Inclusion Criteria:

- Eligible key informants will be a member of the local palliative care team and a local
representative from emergency medicine, nursing, and social work/case management, and
informatics from each of the 18 health systems.

- Eligible physicians, physician assistants, and nurse practitioners will include
emergency physicians, physician assistants, and nurse practitioners employed as
full-time emergency providers in any of the participating EDs.

- Eligible nurses will include full-time emergency nurses employed as full-time
emergency nurses at any of the participating EDs.

- Eligible social workers and case managers will include full-time emergency social
workers or case managers employed by any of the health systems.

Exclusion Criteria:
We found this trial at
1
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550 1st Ave
New York, New York 10016
(212) 263-7300
Principal Investigator: Corita Grudzen, MD
Phone: 646-501-4033
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