Boustani, Malaz A., Campbell, Noll L., Khan, Babar A., Abernathy, Greg, Zawahiri, Mohammed, Campbell, Tiffany, Tricker, Jason, Hui, Siu L., Buckley, John D., Perkins, Anthony J., Farber, Mark O., Callahan, Christopher M.

Background: Approximately 40% of hospitalized older adults have cognitive impairment (CI) and are more prone to hospital-acquired complications. The Institute of Medicine suggests using health information technology to improve the overall safety and quality of the health care system.; Objective: Evaluate the efficacy of a clinical decision support system (CDSS) to improve the quality of […]

Eichler, Tilly, Thyrian, Jochen René, Fredrich, Daniel, Kohler, Leonore, Wucherer, Diana, Michalowsky, Bernhard, Dreier, Adina, Hoffmann, Wolfgang

Background: A computerized Intervention-Management-System (IMS) has been developed and implemented to facilitate dementia care management. IMS is a rule-based expert decision support system that matches individual patient characteristics to a computerized knowledge base. One of the most important functionalities of IMS is to support the compilation of the individual intervention plan by systematically identifying unmet […]

Hanson, Laura C., Carey, Timothy S., Caprio, Anthony J., Lee, Tae Joon, Ersek, Mary, Garrett, Joanne, Jackman, Anne, Gilliam, Robin, Wessell, Kathryn, Mitchell, Susan L.

Objectives: To test whether a decision aid improves quality of decision-making about feeding options in advanced dementia.; Design: Cluster randomized controlled trial.; Setting: Twenty-four nursing homes in North Carolina.; Participants: Residents with advanced dementia and feeding problems and their surrogates.; Intervention: Intervention surrogates received an audio or print decision aid on feeding options in advanced […]

Volandes, Angelo E., Mitchell, Susan L., Gillick, Muriel R., Chang, Yuchiao, Paasche-Orlow, Michael K.

Introduction: When patients are unable to make important end-of-life decisions, doctors ask surrogate decision makers to provide insight into patients’ preferences. Unfortunately, multiple studies have shown that surrogates’ knowledge of patient preferences is poor. We hypothesized that a video decision tool would improve concordance between patients and their surrogates for end-of-life preferences.; Objective: To compare […]