Best Case/Worst Case Communication Tool for Trauma Intensive Care Units
Authors' conclusion
This study found that implementation of BC/WC-ICU in trauma ICUs is feasible, supports prognostic communication, and can improve the clinician-family relationship.
Study context
- Population
- Trauma team members (attendings, fellows, residents, advanced practice providers, bedside nurses) at 8 high-volume US trauma centers caring for seriously injured older adults in intensive care units (ICUs)8 trauma centers
- Outcome
- RE-AIM implementation outcomes:
- Reach
- Effectiveness
- Adoption
- Implementation
- Maintenance
Methodological detailsimplementation within a randomized clinical trial, 4 sequential waves, multicentre (8 trauma centers), 3 months of implementation training per site, October 2023 to September 2024; evaluation until January 2025
- Implementation within a randomized clinical trial
- 4 sequential waves
- Multicentre (8 trauma centers)
- 3 months of implementation training per site, October 2023 to September 2024; evaluation until January 2025
Main finding
As reported in the abstract
RE-AIM implementation outcomes
- Clinicians completing 1-on-1 training (trauma surgeons, intensivists, fellows)
- 208
- Reach: estimated patient families
- 1300
- Mean (SD) site adherence, lowest site
- 45% (30.4)
- Mean (SD) site adherence, highest site
- 100% (0)
- Graphic aid fidelity, mean (SD) on 8-point rubric, lowest site
- 6.22 (2.02)
- Graphic aid fidelity, mean (SD) on 8-point rubric, highest site
- 7.12 (1.39)
Original publication
Best Case/Worst Case Communication Tool for Trauma Intensive Care Units. JAMA Surg. Published 1 November 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →