Resuscitation code status among emergency department patients: Decision support education video pilot study

Alexander S. Finch, Jessica A. Stanich, Maria J. Spadaro, Craig F. Tschautscher, Laura E. Walker, Caitlin E. Loprinzi Brauer

Research output: Contribution to journalArticlepeer-review


Objectives: Establishment of code status can be challenging in the acute care setting. The primary objective of the present study was to evaluate whether patients or their surrogate decision-makers were comfortable watching an educational video about resuscitation. Methods: This interventional pilot study involved a pre- and a postintervention survey of a convenience sample of emergency department (ED) patients who were admitted to the hospital. The study was conducted at an academic level-1 trauma centre within the normal flow of patient care over 4 months in 2017. Results: In total, 50 patients enrolled in the study. Among them, 82% were 'very comfortable' and 14% were 'moderately comfortable' watching the video. Overall, 61% of respondents were 'very comfortable' recommending the video to others. Watching the video resulted in a change in code status for 9 patients. Conclusions: Our results indicate that patients felt comfortable watching the video and recommending the video for further use. Watching the video did not result in a change in code status for most patients in this study. The study results indicate that a standardised patient education video on resuscitation code status was acceptable to patients and their family members and has potential for increased use in the ED.

Original languageEnglish (US)
Article numberspcare-2022-003538
JournalBMJ Supportive and Palliative Care
StateAccepted/In press - 2022


  • Clinical decisions
  • Communication
  • Cultural issues
  • Education and training
  • End of life care
  • Hospital care

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Oncology(nursing)
  • Medical–Surgical


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