Coaching doctors to improve ethical decision-making in adult hospitalized patients potentially receiving excessive treatment. The CODE stepped-wedge cluster randomized controlled trial.

Dominique D BenoitAglaja De PauwCeline JacobsIne MoorsFritz OffnerAnja VelgheNele Van Den NoortgatePieter DepuydtPatrick DruwéDimitri HemelsoetAlfred MeursJiska MalotauxWim Van BiesenFrancis VerbekeEric DeromDieter StevensMichel De PauwFiona TrompHans Van VlierbergheEduard CalleboutKatrijn GoethalsAn LievrouwLimin LiuFrank ManesseStijn VanheuleRuth Piers

Published in: Intensive care medicine (2024)

This study suggests that coaching doctors regarding ethical decision-making in teams safely improves goal-oriented care operationalized via written DNI-DNACPR decisions in hospitalized patients, however without concomitantly improving the quality of the ethical climate.

Keyphrases

decision making
study protocol
quality improvement
healthcare
palliative care
climate change
randomized controlled trial
clinical trial
young adults
physical activity
health insurance