Jessica McCannon|Walter J. O’Donnell|B. Taylor Thompson|Areej El?Jawahri|Yuchiao Chang|Lillian Ananian|Ednan K. Bajwa|Paul F. Currier|Mihir Parikh|Jennifer S. Temel|Zara Cooper|Renda Soylemez Wiener|Angelo E. Volandes
Augmenting Communication and Decision Making in the Intensive Care Unit with a Cardiopulmonary Resuscitation Video Decision Support Tool: A Temporal Intervention Study
Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Brigham and Women's Hospital|Boston University|Harvard University|Massachusetts General Hospital
effective communication intensive care unit icu providers families crucial given complexity decisions made regarding goals therapy using video images supplement medical discussions innovative process standardize improve communication sixmonth quasiexperimental prepost intervention study investigated impact cardiopulmonary resuscitation cpr video decision support tool upon knowledge cpr among surrogate decision makers critically ill adultswe interviewed surrogate decision makers patients aged 50 using structured questionnaire included fourquestion cpr knowledge assessment similar used previous studies surrogates postintervention arm viewed threeminute video decision support tool cpr completing knowledge assessment completed questions perceived value videowe recruited 23 surrogates first three months preintervention arm 27 surrogates latter three months study postintervention arm surrogates viewing video knowledge cpr p0008 average scores 20 sd 11 29 sd 12 total 4 preintervention postintervention arms surrogates viewed video comfortable content 81 81 would recommend video cpr preferences patients time icu dischargedeath distributed follows preintervention full code 78 dnr 22 postintervention full code 59 dnr 41 p023