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Practices We conducted a pre/postintervention research when you look at the ED of an urban, tertiary care, scholastic medical center. From November 2017 to might 2019, we prospectively enrolled adults ≥65 years with serious infection. Trained physicians carried out the intervention. We measured clients' ACP engagement at baseline and follow-up (3 ± 1 weeks) and assessed electric medical record documents of ACP (age.g., medical purchase for life-sustaining therapy [MOLST