The effect of training and education at the emergency department 125 6 analysis (students T-test or Mann Whitney U test depending on distribution) and then analysed using a multiple linear regression model to adjust for potential confounders (age, gender, educational level, health perception and presence of a family member) using forced entry. The effect of time on quality of care decision communication was explored using linear regression. Dummy variables were made for categorical variables. Secondary outcomes 1 (how many patients recall a care decision discussion) and 2 (who initiated this discussion) are compared with Chi-square test. The other secondary outcomes are descriptive. 3. Results A total of 333 patients were included in this study, 149 before and 184 after the interventions. Figure 1 shows the patient flow. Table 1 shows the baseline patient characteristics of the patient population before and after the interventions. Missing values were <5% for all items. The populations were quite similar. Figure 1. Patient flow
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