Lundquist Institute Researcher Receives NIH Funding for ICU Care
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Dr. chang Receives NIH Funding to Expand Time-Limited Trial Model in ICU Care
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Published October 27, 2023, 20:56:54 PST
Improving Communication and Reducing Needless Treatments in Intensive Care
Dr. David Chang,along wiht his research team,has been awarded a substantial grant from the National Institutes of Health (NIH) to conduct a large-scale clinical trial of a novel communication strategy in intensive care units (ICUs). This strategy centers around “time-limited trials” (TLTs) of treatments and shared decision-making between care teams, patients, and their families.
Recognizing existing gaps in communication within ICU settings, Dr. chang’s team developed a structured approach. TLTs involve agreeing on treatment goals, establishing defined timeframes for interventions, and regularly reassessing outcomes collaboratively. initial pilot studies demonstrated that TLTs not only improved the quality of communication but also led to a reduction in the use of treatments deemed non-beneficial to patients. The Lundquist Institute originally reported on these promising results.
Large-Scale Trial Across Two Major Healthcare Systems
The newly awarded NIH R01 funding will enable Dr. Chang’s team to implement and evaluate the TLT model across two diverse healthcare systems in Southern California:
- los angeles County Department of Health Services (LAC DHS): The second-largest public healthcare system in the United States, serving a broad and diverse patient population. Learn more about LAC DHS.
- Kaiser Permanente southern california (KPSC): The region’s largest integrated healthcare system, known for its coordinated care model. Learn more about KPSC.
The selection of these two systems is deliberate. Their differing structures and the diverse cultural and socioeconomic backgrounds of their patient populations will allow researchers to assess the adaptability and effectiveness of the TLT model in a variety of real-world settings.
Impact and Future implications
The Lundquist Institute highlights that this research has the potential to transform ICU care nationwide by fostering greater shared decision-making between medical professionals,patients,and their families.By combining scientific innovation with a compassionate approach, Dr.Chang’s work aims to improve patient outcomes and ensure that treatment aligns with individual values and goals.