The InterACT (Intervention for Appropriate Care and Treatment) study: working with clinical teams in hospitals to trial a feedback loop approach to promoting appropriate care and treatment for elderly patients at the end-of-life.

This study will work with clinical teams in three acute hospitals to trial a feedback loop approach to promoting appropriate care and treatment for elderly patients at the end-of-life. The feedback loop is intended to provide a ‘flag’ to increase clinician awareness of the risk profile of their patients, and to prompt a tailored care review activity. It is expected that the use of this feedback intervention will improve care outcomes for elderly patients, specifically to increase appropriate care and treatment pathways and reduce the incidence of non-beneficial treatments. the study will report the impact on patients, and the costs and implementation issues of the feedback loop activity. Trial website http://www.aushsi.org.au/research/nhmrc-funded-research/the-interact-trial-intervention-for-appropriate-care-treatment/

本研究将联合三家急症医院的临床团队，开展反馈环路（feedback loop）方法的试点试验，以促进老年临终患者获得适宜的照护与治疗。该反馈环路旨在生成"警示标记"，提升临床医师对患者风险特征的认知，并促使开展定制化照护审查工作。预期该反馈干预措施的应用将改善老年患者的照护结局，具体可提升适宜照护与治疗路径的应用比例，并降低非获益性治疗的发生率。本研究将评估该措施对患者的影响，以及相关成本与实施难点。本试验官网：http://www.aushsi.org.au/research/nhmrc-funded-research/the-interact-trial-intervention-for-appropriate-care-treatment/