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New tool could help doctors identify patients needing end-of-life care earlier

NCT ID NCT04171830

ENROLLING_BY_INVITATION Disease control Sponsor: Ottawa Hospital Research Institute Source: ClinicalTrials.gov ↗

First seen Jul 20, 2026 · Last updated Jul 21, 2026 · Updated 1 time

Summary

This trial tests a computer tool that automatically calculates a patient's risk of dying within a year when they are admitted to the hospital. The goal is to help doctors reliably identify patients who might have unmet palliative care needs, such as severe symptoms or a desire to discuss advance care planning. The study involves over 3,500 patients across 12 hospitals and will measure whether the tool leads to better documentation and care for those nearing the end of life.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
a mortality prediction tool called mHOMR/HOMR-Now! that automatically screens hospital patients for risk of death within a year
What this could lead to
If successful, this tool could help doctors reliably identify patients who need palliative care earlier, improving end-of-life support and quality of life.
What could go wrong
The tool only flags risk; it does not guarantee better care. Hospitals may not adopt it consistently, and patients may not benefit if follow-up assessments are incomplete.

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Conditions

The condition(s) this trial relates to.

Death

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

IMPLEMENTATION SCIENCE PALLIATIVE THERAPY SCREENING TERMINAL CARE

Contacts and locations

Locations

  • Cambridge Memorial Hospital

    Cambridge, Ontario, N1R3G2, Canada

  • Headwaters Health Care Centre

    Orangeville, Ontario, L9W4X9, Canada

  • Humber River Hospital

    Toronto, Ontario, M3M0B2, Canada

  • Kingston Health Sciences Centre

    Kingston, Ontario, K7L2V7, Canada

  • London Health Sciences Centre

    London, Ontario, Canada

  • Montfort Hospital

    Ottawa, Ontario, K1K0T2, Canada

  • North York General Hospital

    Toronto, Ontario, M2K1E1, Canada

  • Pembroke Regional Hospital

    Pembroke, Ontario, K8A1G8, Canada

  • Queensway Carleton Hospital

    Ottawa, Ontario, K2H8P4, Canada

  • Saint Michael's Hospital

    Toronto, Ontario, M5B1W8, Canada

  • The Ottawa Hospital

    Ottawa, Ontario, K1H8L6, Canada

  • William Osler Health System

    Brampton, Ontario, L6R37J, Canada

  • Windsor Regional Hospital

    Windsor, Ontario, N8W1L9, Canada

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