The objective of this study is to assess the implementation process for and the effectiveness of a quality improvement (QI) strategy to increase shared decision-making around anesthesia options for hip fracture surgery at 6 US hospitals. The QI strategy is to be facilitated by a clinician-administered 1-page bedside conversation aid designed to improve the quality of physician-patient communication, paired with brief clinician training. The evaluation will occur via a stepped wedge, cluster randomized trial to be carried out over a period of 34 months.
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Intervention reach (primary implementation outcome)
Timeframe: Day of surgery
Shared Decision-Making Process scale score (SDMP; primary effectiveness outcome)
Timeframe: Postoperative day 0-3