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Nudging Clinicians to Promote Serious Illness Communication for Critically Ill Patients: A Pragmatic Cluster Randomized Trial.

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Title: Nudging Clinicians to Promote Serious Illness Communication for Critically Ill Patients: A Pragmatic Cluster Randomized Trial.
Authors: Courtright KR; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Pulmonary, Allergy, and Critical Care Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Palliative Care Program, Penn Medicine, Philadelphia, Pennsylvania.; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia., Singh J; Critical Care Network, Adult Acute Division, Department of Medicine, Atrium Health, Charlotte, North Carolina., Dress EM; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia., Bayes B; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia., Harhay MO; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia.; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia., Chowdhury M; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia., Lu Y; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia., Lee KM; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia., Small DS; Department of Statistics, Wharton School, University of Pennsylvania, Philadelphia., Whitman C; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia., Tian J; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia., Madden V; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia., Hetherington T; Center for Outcomes Research and Evaluation, Atrium Health, Charlotte, North Carolina., Placket L; Information and Analytics Services, Atrium Health System, Charlotte, North Carolina., Sullivan DM; Information and Analytics Services, Atrium Health System, Charlotte, North Carolina., Burke HL; Division of Palliative Care, Adult Acute Care Services, Department of Medicine, Atrium Health, Charlotte, North Carolina., Green MB; Critical Care Network, Adult Acute Division, Department of Medicine, Atrium Health, Charlotte, North Carolina., Halpern SD; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Pulmonary, Allergy, and Critical Care Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia.; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Department of Medical Ethics and Healthy Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Source: JAMA internal medicine [JAMA Intern Med] 2025 May 01; Vol. 185 (5), pp. 510-520.
Publication Type: Journal Article; Multicenter Study; Pragmatic Clinical Trial; Randomized Controlled Trial
Journal Info: Publisher: American Medical Association Country of Publication: United States NLM ID: 101589534 Publication Model: Print Cited Medium: Internet ISSN: 2168-6114 (Electronic) Linking ISSN: 21686106 NLM ISO Abbreviation: JAMA Intern Med Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: <searchLink fieldCode="AU" term="%22Courtright+KR%22">Courtright KR</searchLink>; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Pulmonary, Allergy, and Critical Care Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Palliative Care Program, Penn Medicine, Philadelphia, Pennsylvania.; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia.<br /><searchLink fieldCode="AU" term="%22Singh+J%22">Singh J</searchLink>; Critical Care Network, Adult Acute Division, Department of Medicine, Atrium Health, Charlotte, North Carolina.<br /><searchLink fieldCode="AU" term="%22Dress+EM%22">Dress EM</searchLink>; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.<br /><searchLink fieldCode="AU" term="%22Bayes+B%22">Bayes B</searchLink>; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.<br /><searchLink fieldCode="AU" term="%22Harhay+MO%22">Harhay MO</searchLink>; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia.; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia.<br /><searchLink fieldCode="AU" term="%22Chowdhury+M%22">Chowdhury M</searchLink>; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.<br /><searchLink fieldCode="AU" term="%22Lu+Y%22">Lu Y</searchLink>; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.<br /><searchLink fieldCode="AU" term="%22Lee+KM%22">Lee KM</searchLink>; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia.<br /><searchLink fieldCode="AU" term="%22Small+DS%22">Small DS</searchLink>; Department of Statistics, Wharton School, University of Pennsylvania, Philadelphia.<br /><searchLink fieldCode="AU" term="%22Whitman+C%22">Whitman C</searchLink>; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.<br /><searchLink fieldCode="AU" term="%22Tian+J%22">Tian J</searchLink>; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.<br /><searchLink fieldCode="AU" term="%22Madden+V%22">Madden V</searchLink>; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.<br /><searchLink fieldCode="AU" term="%22Hetherington+T%22">Hetherington T</searchLink>; Center for Outcomes Research and Evaluation, Atrium Health, Charlotte, North Carolina.<br /><searchLink fieldCode="AU" term="%22Placket+L%22">Placket L</searchLink>; Information and Analytics Services, Atrium Health System, Charlotte, North Carolina.<br /><searchLink fieldCode="AU" term="%22Sullivan+DM%22">Sullivan DM</searchLink>; Information and Analytics Services, Atrium Health System, Charlotte, North Carolina.<br /><searchLink fieldCode="AU" term="%22Burke+HL%22">Burke HL</searchLink>; Division of Palliative Care, Adult Acute Care Services, Department of Medicine, Atrium Health, Charlotte, North Carolina.<br /><searchLink fieldCode="AU" term="%22Green+MB%22">Green MB</searchLink>; Critical Care Network, Adult Acute Division, Department of Medicine, Atrium Health, Charlotte, North Carolina.<br /><searchLink fieldCode="AU" term="%22Halpern+SD%22">Halpern SD</searchLink>; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Pulmonary, Allergy, and Critical Care Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia.; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia.; Department of Medical Ethics and Healthy Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
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