Scholars@Duke
Noppon Pooh Setji

Noppon Pooh Setji

Associate Professor of Medicine
Medicine, Hospital Medicine

Selected Publications

Impact of Prognostic Notifications on Inpatient Advance Care Planning: A Cluster Randomized Trial.

Journal Article J Pain Symptom Manage · December 2025 BACKGROUND: A poor prognosis is an important trigger for advance care planning (ACP) conversations, but clinicians often overestimate prognosis. OBJECTIVE: To determine whether ACP note documentation increases by notifying inpatient physicians that a patie ... Full text Link to item Cite

Physician Characteristics Associated With Advance Care Planning After a Machine Learning-Based Nudge.

Journal Article Am J Hosp Palliat Care · November 21, 2025 Prognostic machine learning models can help identify patients in need of advance care planning (ACP) conversations. However, additional work is needed to understand which factors guide physicians' comfort with and prioritization of ACP conversations, even ... Full text Link to item Cite

Outcomes of a Hospitalist-Led Consult Service for Patients with Opioid Use Disorder: A Propensity Score Weighted Study.

Journal Article J Gen Intern Med · November 6, 2025 BACKGROUND: Medication for opioid use disorder (MOUD) reduces mortality and is the standard of care yet use remains low. Hospitalist-led treatment can fill important gaps in care for patients with OUD. OBJECTIVE: Evaluate effectiveness of a hospitalist-led ... Full text Link to item Cite

Improving Access to Inpatient Hospice: Implementation and Impact of a Dedicated Comfort Care Service in a Tertiary Care Hospital.

Journal Article J Palliat Med · October 6, 2025 Background: Hospice is the gold standard for end-of-life care. Many hospitalized patients on comfort care (CC) have a high symptom burden and qualify for General Inpatient Hospice (GIP) care. Local Problem: At our institution, many hospitalized patients wh ... Full text Link to item Cite

Machine Learning for Targeted Advance Care Planning in Cancer Patients: A Quality Improvement Study.

Journal Article J Pain Symptom Manage · December 2024 CONTEXT: Prognostication challenges contribute to delays in advance care planning (ACP) for patients with cancer near the end of life (EOL). OBJECTIVES: Examine a quality improvement mortality prediction algorithm intervention's impact on ACP documentation ... Full text Link to item Cite

Impact of a hospital service for adults with chronic childhood-onset disease: A propensity weighted analysis.

Journal Article J Hosp Med · December 2023 BACKGROUND: Young adults with chronic childhood-onset diseases (CCOD) transitioning care from pediatrics to adult care are at high risk for readmission after hospital discharge. At our institution, we have implemented an inpatient service, the Med-Peds (MP ... Full text Open Access Link to item Cite

The Use of Templates for Documenting Advance Care Planning Conversations: A Descriptive Analysis.

Journal Article J Pain Symptom Manage · August 2023 CONTEXT: While professional societies and expert panels have recommended quality indicators related to advance care planning (ACP) documentation, including using structured documentation templates, it is unclear how clinicians document these conversations. ... Full text Link to item Cite

Goal-Concordant Care: End-of-Life Planning Conversations for All Seriously Ill Patients.

Journal Article Nejm Catalyst Innovations in Care Delivery · November 16, 2022 Substantial evidence indicates that goals-of-care (GOC) conversations in the setting of serious illness can improve a variety of health outcomes. However, only 3% of seriously ill Duke Health patients who died had goals of care documented in the electronic ... Full text Cite

A Customized Electronic Health Record-Based Tool Highlights and Addresses Gaps in Patient Safety.

Journal Article Am J Med Qual · September 2022 The authors present a tool to improve gaps in patient safety using the electronic health record. The tool integrates gap identification, passive alerts, and actions into a single interface embedded within clinicians' workflow. The tool was developed to add ... Full text Link to item Cite

Implementation of a comprehensive hospitalist-led initiative to improve care for patients with opioid use disorder.

Journal Article J Hosp Med · June 2022 BACKGROUND: As opioid-related hospitalizations rise, hospitals must be prepared to evaluate and treat patients with opioid use disorder (OUD). We implemented a hospitalist-led program, Project Caring for patients with Opioid Misuse through Evidence-based T ... Full text Link to item Cite

Prospective and External Evaluation of a Machine Learning Model to Predict In-Hospital Mortality of Adults at Time of Admission.

Journal Article JAMA Netw Open · February 5, 2020 IMPORTANCE: The ability to accurately predict in-hospital mortality for patients at the time of admission could improve clinical and operational decision-making and outcomes. Few of the machine learning models that have been developed to predict in-hospita ... Full text Link to item Cite

Assessing the Impact of an Order Panel Utilizing Weight-Based Insulin and Standardized Monitoring of Blood Glucose for Patients With Hyperkalemia.

Journal Article Am J Med Qual · 2018 Intravenous insulin with glucose is used in urgent treatment for hyperkalemia but has a significant risk of hypoglycemia. The authors developed an order panel within the electronic health record system that utilizes weight-based insulin dosing and standard ... Full text Link to item Cite

The highest utilizers of care: individualized care plans to coordinate care, improve healthcare service utilization, and reduce costs at an academic tertiary care center.

Journal Article J Hosp Med · July 2015 BACKGROUND: High utilizers are medically and psychosocially complex, have high rates of emergency department (ED) visits and hospital admissions, and contribute to rising healthcare costs. OBJECTIVE: Develop individualized care plans to reduce unnecessary ... Full text Link to item Cite