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Resuscitation code status among emergency department patients: decision support education video pilot study
  1. Alexander S Finch1,
  2. Jessica A Stanich1,
  3. Maria J Spadaro2,
  4. Craig F Tschautscher3,
  5. Laura E Walker1 and
  6. Caitlin E Loprinzi Brauer1
  1. 1Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA
  2. 2Emergency Department, Mayo Clinic Health System, Eau Claire, Wisconsin, USA
  3. 3Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota, USA
  1. Correspondence to Dr Alexander S Finch, Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA; finch.alexander{at}mayo.edu

Abstract

Objectives Establishment of code status can be challenging in the acute care setting. The primary objective of the present study was to evaluate whether patients or their surrogate decision-makers were comfortable watching an educational video about resuscitation.

Methods This interventional pilot study involved a pre- and a postintervention survey of a convenience sample of emergency department (ED) patients who were admitted to the hospital. The study was conducted at an academic level-1 trauma centre within the normal flow of patient care over 4 months in 2017.

Results In total, 50 patients enrolled in the study. Among them, 82% were ‘very comfortable’ and 14% were ‘moderately comfortable’ watching the video. Overall, 61% of respondents were ‘very comfortable’ recommending the video to others. Watching the video resulted in a change in code status for 9 patients.

Conclusions Our results indicate that patients felt comfortable watching the video and recommending the video for further use. Watching the video did not result in a change in code status for most patients in this study. The study results indicate that a standardised patient education video on resuscitation code status was acceptable to patients and their family members and has potential for increased use in the ED.

  • Clinical decisions
  • Communication
  • End of life care
  • Hospital care
  • Education and training
  • Cultural issues

https://doi.org/10.1136/spcare-2022-003538

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    Footnotes

    • Contributors All listed authors contributed significantly to the development of the research project and manuscript. Authors ASF, MJS, CFT, JAS, LEW and CELB contributed to planning, conduct and reporting.

    • Funding This research received a grant from the Mayo Clinic Department of Emergency Medicine Small Grants Program <$10,000 from 2016–2018.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.