Hospital transfer rates and advance care planning following a nursing home-targeted video-conference education series (Project ECHO): a prospective cohort study

Eur Geriatr Med. 2022 Aug;13(4):941-949. doi: 10.1007/s41999-022-00624-6. Epub 2022 Apr 19.

Abstract

Aim: What effect does a novel education programme have on emergency hospital transfers of, and advance care planning decisions among, nursing home residents?

Findings: This education programme did not affect overall rates of emergency hospital transfer. It did increase advance care planning discussions, increase compliance with the results of these discussions and increase "DNR" orders among nursing home residents.

Message: Novel tele-education programmes have the potential to improve advance care planning discussions in nursing homes.

Keywords: Advance care planning; Education; Long-term care; Nursing home; Palliative care; Tele-education.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Advance Care Planning*
  • Hospitals
  • Humans
  • Nursing Homes
  • Prospective Studies
  • Resuscitation Orders