The objective of this clinical trial is to investigate the impact of implementing a tool for adjusting the level of diagnostic and therapeutic intensity in the clinical practice of physicians attending hospitalized patients.
The goal of this clinical trial is to investigate the impact of a tool for adjusting diagnostic and therapeutic intensity in hospitalized patients. The main question it aims to answer is: Is there a difference in patient mortality when using the aforementioned tool? The participating physicians will be grouped into 4 groups (5 physicians each). Each group will progressively (every 3 months) incorporate the use of the aforementioned tool into their usual clinical practice.
Physician belonging to the non-surgical medical area.
Routine clinical activity on a hospital ward caring for hospitalized patients.
Physician belonging to the Oncology-Hematology/Palliative Care Hospitalization Unit.
Refusal to participate in the study.
Sequential
Levels of Diagnostic and Therapeutic Intervention tool by Fontecha and col.
Other interventionDuring the intervention periods, participating physicians will integrate into their usual clinical practice a tool for adjusting diagnostic and therapeutic intensity designed by Fontecha-Gómez and colleagues. The tool for adjusting the level of diagnostic and therapeutic intensity classifies patients' profiles into 5 groups based on the recommended level of adjustment.
Usual clinical practice
Other interventionThe participating physicians will carry out the standard clinical practice currently performed in the study centers. This means that during this period, the diagnostic and therapeutic adjustment tool or any similar tool will not be introduced into routine clinical practice.
In-hospital Patient Mortality at 90 days from hospital discharge
Percentage of patients who die during hospitalization until 90 days from hospital discharge.
In-hospital Patient Mortality at 6 months from hospital discharge
Percentage of patients who die during hospitalization until 6 months from hospital discharge.
In-hospital Patient Mortality at 1 year from hospital discharge
Percentage of patients who die during hospitalization until 1 year from hospital discharge.
Delirium Incidence
Percentage of patients with delirium occurrence during hospital admission (delirium already present at the time of admission will not be considered). Delirium will be evaluated through Confusion Assessment Method (CAM)
Pressure Ulcer Incidence
Percentage of patients with pressure ulcer occurrence during hospital admission (pressure ulcers already present at the time of admission will not be considered).
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