Video Images About Decisions for Ethical Outcomes in the Emergency Department (VIDEO-ED) (VIDEO-ED)

A randomized controlled trial of a video decision aid in the Emergency Department Setting to improve advance care planning documentation.

A randomized controlled trial of a video decision aid in the Emergency Department setting shown to patients followed by a brief advance care planning discussion and then relay that discussion to the patient's primary care provider and/or admitting clinical team and look at rates of advance care planning documentation in the electronic health record over time. Primary outcome is advance care planning documentation in the EHR at 3 months.

Primary outcome will be obtained through natural language processing (NLP) from the EHR, in which the RA conducting the NLP will not know which arm of the study the patient was in.

differential intervention effects of the ACP video intervention on patient ACP documentation based on race and ethnicity

We will look at ACP documentation in the intervention and control arms to see if there are differential intervention effects based on race and ethnicity. We will look at the ACP documentation rate in Whites in both arms, and compare them to African Americans and Latinx populations. We will be able to see if the intervention had a greater or lesser effect on ACP rates in sub groups of our population by race and ethnicity.

we will ask the patient whether or not they want CPR attempted and whether they would wish to be placed on a breathing machine

We will ask patients how confident they are in that they will receive the type of medical care they wish in their health care system

Inclusion Criteria: anyone aged 65 and over or anyone aged over 50-64 with an indicator of serious illness Exclusion Criteria: non english or spanish speakers those with a POLST legally blind medically non stable requiring ICU level care