Development of quality indicators for palliative care in intensive care units and pilot testing them via electronic medical record review
Authors' conclusion
The QI set, developed using the modified Delphi method and tested using EMR data, provided a tool for assessing the quality of palliative care in ICUs.
Study context
- Population
- Patients admitted to the general or emergency ICU at a university hospital, January 1, 2019, to June 30, 2019pilot test
- Participants
- 262 patients
- Outcome
- Development of QIs for palliative care in ICUs
Methodological detailssingle university hospital, 2 intensive care units (ICUs) (general and emergency)
- Single university hospital
- 2 ICUs (general and emergency)
Pooled result
As reported in the abstract
- 28-item QI set for palliative care in ICUs developed by consensus of 16 experts
- 2 items with low measurability ratings (patient's psychological distress; patient's spiritual and cultural practices) adopted in final set as important for holistic assessment
- Pilot test indicated feasibility of the quality indicators (QIs); frequency of care performance varied
Further pooled results
Aspects of ICU palliative care needing improvement (pilot test)
- Regular pain assessment; identification of advance directive and advance care planning for treatment; interdisciplinary family conference on palliative care; assessment of family members' psychological distress
Original publication
Development of quality indicators for palliative care in intensive care units and pilot testing them via electronic medical record review. J Intensive Care. Published 9 January 2024. doi:10. 1186/ s40560-023-00713-z
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