Speaker
Corita R. Grudzen, MD, MSHS, FACEP
Vice Chair for Research
Associate Professor of Emergency Medicine and Population Health
Ronald O. Perelman Department of Emergency Medicine
NYU School of Medicine
Topic
Primary Palliative Care for Emergency Medicine (PRIM-ER)
Keywords
PRIM-ER; Emergency department; Palliative care; NIH Collaboratory Trial; Pragmatic trial; Stepped-wedge study design; Clinical decision support; Best practice alerts; Advance care planning
Key Point
- The PRIM-ER trial is a pragmatic, cluster-randomized, stepped wedge NIH Collaboratory Trial that will implement primary palliative care in emergency medicine across a diverse group of 35 emergency departments (EDs).
- PRIM-ER’s clinical decision support intervention is tailored to each ED site. The study aims to enable system, organizational, and provider change in the emergency department workflow.
- The study team is identifying and preparing site champions by conducting communication skills training in serious illness for emergency physicians and staff using the EM Talk program.
Discussion Themes
It is important to consider sustainability of the intervention during the planning phase of the trial. Plan for staff turnover and how new staff will be educated and oriented to the intervention.
The volume and sophistication of best practice alerts (BPAs) received by physicians varies across U.S. emergency departments. Alert “fatigue” can be a concern.
For more information on the PRIM-ER NIH Collaboratory Trial, visit the PRIM-ER website on the Living Textbook.
Tags
@Collaboratory1, #pctGR, #EmergencyMedicine