Purpose: We conducted a quality improvement project to assess the frequency of code status discussions between interns and patients on admission, determine intern comfort with code status discussions, and evaluate whether a pocket-sized verbal script for interns and visual decision aid for patients (intervention) on broaching code status discussions improves rates of such discussions.
Description: Prior to our intervention, 19% of interns conducted code status discussions prior to the intervention compared to 45% after the intervention. The most common reason that interns did not have code status discussions was time pressure. Other reasons included inappropriate settings, patient was non-verbal, no expectation for decompensation, and complex social dynamics.
Conclusions: The use of a simple educational tool that included a script for interns and a decision aid for patients resulted in an increase (19% to 45%) in the frequency of code status discussions. Discussing and documenting code status is an important component of medical care.
To cite this abstract:Koo, D; Kim, Y; Kumar, C . A SIMPLE TOOL TO INCREASE FREQUENCY OF CODE STATUS DISCUSSIONS UPON HOSPITAL ADMISSION. Abstract published at Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev. Abstract 178. Journal of Hospital Medicine. 2017; 12 (suppl 2). https://www.shmabstracts.com/abstract/a-simple-tool-to-increase-frequency-of-code-status-discussions-upon-hospital-admission/. Accessed January 29, 2020.