The effect of training and education at the emergency department 129 6 Figure 2. Prior conversations about care decisions and appropriate moments to discuss care decisions according to patients 2a. Patients were asked whether they had prior talks about care decisions and with whom. They could give multiple answers 2b. Patients were asked what they perceive appropriate moments to discuss care decisions. They could give multiple answers ED = emergency department 4. Discussion The objective of our study was to develop an intervention targeted to improve the quality of care decision conversations between physicians and emergency department patients through a pre-post intervention study. Quality of care decision communication demonstrated a significant improvement after the implementation of physician training and patient education, as compared to the period before intervention.
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