Publications by authors named "Myrna Katalina Serna"
Background: Serious Illness Conversations (SICs) are not consistently integrated into existing inpatient workflows.
Objective: We assessed the implementation of multiple interventions aimed at encouraging SICs with hospitalized patients.
Methods: We used the Consolidated Framework for Implementation Research to identify determinants for conducting SICs by interviewing providers and the Expert Recommendations for Implementing Change to develop a list of interventions.
Article Synopsis
- The study investigated how to identify hospitalized patients who might benefit from serious illness conversations (SICs) by combining Epic's Risk of Readmission Score (RRS) with a simple question about expected mortality ("Would you be surprised if the patient died in the next 12 months?").
- Researchers analyzed patient encounters from January 2019 to October 2021, finding that 77.2% of patients with a high RRS were considered unlikely to survive the next year, and these patients had higher rates of documented SICs.
- Despite a significant portion of these patients needing SICs, the overall rates of having these conversations were very low, suggesting that using both EHR data and
Background: Analysis of documented Serious Illness Conversations (SICs) in the inpatient setting can help clinicians align management to address patient and caregiver needs.
Methods: We conducted a mixed methods analysis of the first instance of standardized documentation of a SIC within a structured module among hospitalized general medicine patients from 2018 to 2019. Percentage of documentations that included a description of patient or family understanding of the patient's medical condition and use of radio buttons to answer the "prognostic information shared," "hopes," and "worries" modules are reported.