title: The impact of a multidisciplinary educational intervention to reduce PEG tube placement in patients with terminal-stage dementia: a translation of research into practice.
abstract: The purpose of this translation of research into practice (TRIP) project was to to determine the impact of a multidisciplinary education-consultation intervention to reduce percutaneous endoscopic gastrostomy (PEG) tube placement in patients with terminal-stage dementia at a single urban hospital in a city characterized by numerous health care transitions. We attempted a "just-in-time" approach to educate busy clinicians through explicit recommendations offered during routine and requested consultation. The project results showed that the intervention had a modest positive clinical impact.
authors.affiliation: Detroit Receiving Hospital, Detroit, Michigan 48201, USA. mcampbe3@dmc.org
authors.forename: Margaret L
authors.initials: ML
authors.lastname: Campbell
authors.forename: Emily
authors.initials: E
authors.lastname: Dove-Medows
authors.forename: Julia
authors.initials: J
authors.lastname: Walch
authors.forename: Kelly
authors.initials: K
authors.lastname: Sanna-Gouin
authors.forename: Salva
authors.initials: S
authors.lastname: Colomba
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003704:Dementia; D016099:Endoscopy, Gastrointestinal / Q000706:statistics & numerical data*; D004750:Enteral Nutrition; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006282:Health Personnel / Q000193:education*; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D008485:Medical Audit; D009735:Nursing Homes; D015397:Program Evaluation; D019452:Terminally Ill