Study to Implement Shared Decision-Making Intervention in Practice for Chest Pain

Overview

About this study

The purpose of this study is to incorporate the Chest Pain Choice decision aid in a stakeholder-guided evidence-based clinical practice pathway, to implement it in practice, and to evaluate its effects — potential to improve patients’ experience of care while simultaneously limiting unnecessary healthcare utilization and improving population health.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria - Sample Cohort:

  • Date of service within 1 year of implementing the CPC-pathway at each site (the prior year)
  • Patient age 30+
  • Visit was diagnosed as nontraumatic chest pain
  • First troponin result was <99th percentile
  • A sample cohort will be taken again at the end of the study for the 12-month period during the intervention phase, and the inclusion criteria will be the same.
  • At 60-days post-discharge, we will review the medical record to determine whether the participant has returned to the Emergency Department, had other visits with the participating health system, and to assess 60-day mortality status. If 60-day mortality status is not available within the health system’s medical records, we will acquire 60-day mortality data from Accurint, a national database used by debt collection agencies, to assess mortality status.

Inclusion Criteria - Intervention Group (survey participants):

  • Date of service is during intervention phase
  • Patient age 30+
  • Chief complaint or ED diagnosis is nontraumatic chest pain
  • First troponin result is <99th percentile

Inclusion Criteria - Focus Group:

  • Physicians and Residents of participating Departments of Emergency Medicine, as well as Nurses and Managers working in the same

Inclusion Crteria - Clinicans:

  • Physicians and Residents from the participating Departments of Emergency Medicine

 

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Casey Clements, M.D., Ph.D.

Open for enrollment

Contact information:

Emergency Department Research Team

(507) 255-9353

rstemergencydeptres@mayo.edu

More information

Publications

Publications are currently not available

Study Results Summary

Not yet available

Supplemental Study Information

Not yet available

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CLS-20502529

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