Introduction: To report outcomes of a 3-year quality improvement pilot study to improve advance directive (AD) completion.
Methods: The pilot consisted of champions, education, electronic health record templates, and workflow changes. We assessed changes, predictors, and effects of AD completion.
Results: The pilot led to greater (8.3%-36%) and earlier AD completion, particularly among those divorced, with alcohol-associated liver disease, and with higher Model of End-Stage Liver Disease-Sodium score. Decedents whose AD specified nonaggressive goals experienced lower hospital lengths of stay.
Discussion: Advance care planning initiatives are feasible and may reduce health care utilization among decedents requesting less aggressive care.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10904002 | PMC |
| http://dx.doi.org/10.14309/ajg.0000000000002570 | DOI Listing |
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