Home › NCT07405710

Use of the Electronic Medical Record to Screen Code Status Preference Using Death Language

Choice of Diction's Effect: Electronic Measures of Resuscitation Status Inpatient

Who can join

Ages 65 and older · All sexes · Healthy volunteers welcome

Inclusion Criteria:

* Age \>65, English-fluency in reading and speaking, and the capacity to consent

Exclusion Criteria:

* Requiring ICU-level care

About the study

In order to systematically improve code status communication and documentation while clarifying how providers understand code status decisions, we propose the Choice of Diction's Effect Electronic Measures of Resuscitation Study Inpatient (CODE-EMRS.I) with 3 aims: Aim 1 - Determine rate of patient utilization of code status invitation (research) via the Portal (Hypothesis 1: Participants with an existing Portal are more likely to participate in research than new signups); Aim 2 - Evaluate different phrasings in code status prompts with and without death language (Hypothesis 2: Participants are more likely to pick no code with death language than without); Aim 3 - Determine how objective data drives physician agreement on code status decision (Hypothesis 3: Physicians are more likely to disagree with full code decisions for poor GO-FAR, but not CCI). Participants will fill out all study questionnaires electronically, but have options within these to ask to speak to a study physician/their own physician for clarification. After completing the surveys, the research associate will deliver the patient's code status decision to the attending of record and ask their views on it. Once a week, participants who have expressed interest in the study (by clicking the "I am interested" button) but have not completed the study will receive a reminder to complete the study as well as an offer to withdraw from the study in that same communication.

What is being tested

• Death language (behavioral)

Sponsor: Rutgers, The State University of New Jersey · Participants: 118 · Started: Feb 9, 2026

Contact the study team

• Karthik J Kota, MD MPH · Phone: 732-235-7112

Official record on ClinicalTrials.gov — NCT07405710

Locations in the U.S.

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.