The study population was full-time EM providers across 33 EDs enrolled in the Primary Palliative Care for Emergency Medicine (PRIM-ER) study. The PRIM-ER study is a cluster-randomized pragmatic trial that assesses the impact of EM provider interventions on healthcare utilization and outcomes among seriously ill older adults that visit the ED.23 The PRIM-ER intervention consists of (1) education in palliative and end-of-life care EM providers and emergency nurses,(2) communication skill training and simulation workshop for EM providers (using the EM Talk training) and emergency nurses (using the End-of-Life Nursing Education Consortium (ELNEC) training), and (3) the integration of a clinical decision support tool to identify and engage seriously ill older adults in SI conversations. We had reported the reach of the ELNEC intervention and emergency nurses’ perceived barriers and solutions to conducting SI conversations in the ED.29 The current study focuses on the reach and effectiveness of EM Talk.
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