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An initiative at Northeast Georgia Medical Center’s hospital campus in Gainesville created a hospital culture that values organ donation as a standard of care for patients and families, leading to a sustained increase in referrals, donors and transplanted organs.
Most surveyed family members of patients with kidney failure on long-term dialysis reported they had spoken with the patient about their end-of-life wishes but not about stopping dialysis or initiating hospice.
An electronic nudge to clinicians—triggered by an algorithm that used machine learning methods to flag patients with cancer who would most benefit from a conversation around end-of-life goals—tripled the rate of those discussions.
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