ArticleJournal of pain and symptom management2023
Communication Training and Code Status Conversation Patterns Reported by Emergency Clinicians.
Article in Journal of pain and symptom management, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed.
- Patient Preferences for Code Status Discussions: A Randomized Trial of Information- vs. Patient Values-Centered Frameworks.Journal of general internal medicine · 2025Trial
- Neuropalliative Care in the Emergency Department: Three Roles, One Goal.Neurocritical care · 2026Review
- Comparing approaches to code status conversations between Thai and American emergency clinicians: a survey study.Emergency medicine journal : EMJ · 2025Article
- Emergency Palliative Care: Nongoal Concordant Care and Time-Limited Trials in the Emergency Department.Journal of palliative medicine · 2024Article
- Geriatric End-of-Life Screening Tool Prediction of 6-Month Mortality in Older Patients.JAMA network open · 2024Article
- Mid-Atlantic primary care providers' perception of barriers and facilitators to end-of-life conversation.Palliative care and social practice · 2024Article
- Empower Emergency Physicians to Make Patient-Centered Recommendations Regarding Code Status With Serious Illness Communication Training-Resident-Desired, Standard of Emergency Care in 2023.Annals of emergency medicine · 2023Article
- Best Practices in End of Life and Palliative Care in the Emergency Department.Clinics in geriatric medicine · 2023Review
Corrections and comments
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Authors and funding
15 authors.
Funding
Abstract
contextDuring acute health decompensations for seriously ill patients, emergency clinicians often determine the intensity end-of-life care. Little is known about how emergency clinicians conduct these conversations, especially among those who have received serious illness communication training.
objectivesTo determine the self-reported practice patterns of code status conversations by emergency clinicians with and without serious illness communication training.
methodsA cross-sectional survey was conducted among emergency clinicians with and without a recent evidence-based, serious illness communication training tailored for emergency clinicians. Emergency clinicians were included from two academic medical centers. A five-point Likert scale ("very unlikely" to "very likely" to ask) was used to assess the self-reported likelihood of asking about patients' preferences for medical procedures and patients' values and goals.
resultsAmong 161 respondents (71% response rate), 77 (48%) received the training. A total of 70% of emergency clinicians reported asking about procedure-based questions, and only 38% reported asking about patient's values regarding end-of-life care. For value-based questions, statistically significant differences were observed between emergency clinicians who underwent the training and those who did not in four of the seven questions asked (e.g., the higher odds of exploring the patient's life priorities [adjusted OR = 4.34, 95% CI = 1.95-9.65, P-value < 0.001]). No difference was observed in the self-reported rates of all procedure-based questions between the two groups.
conclusionMost emergency clinicians reported asking about procedure-based questions, and some asked about patient's value-based questions. Clinicians with recent serious illness communication training may ask more about some values and priorities.
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