Medical Record Quality Assessments of Palliative Care for Intensive Care Unit Patients. Do They Match the Perspectives of Nurses and Families?
Richard A MularskiLissi HansenSusan J RosenkranzMichael C LeoPaula NagySteven M AschPublished in: Annals of the American Thoracic Society (2017)
Delivering high-quality palliative care in the ICU requires assessing key patient-centered domains. However, assessments from different perspectives do not always agree with technical quality of care as measured through chart-based metrics. We found deficits across seven domains of technical quality that were not correlated with either nurse or family ratings. Despite care gaps, families were generally satisfied with the care delivered. We conclude that each measurement perspective provides an independent view that can guide quality improvement and innovation work as well as subsequent research.
Keyphrases
- palliative care
- quality improvement
- intensive care unit
- healthcare
- advanced cancer
- patient safety
- end stage renal disease
- ejection fraction
- traumatic brain injury
- newly diagnosed
- mechanical ventilation
- peritoneal dialysis
- mental health
- prognostic factors
- pain management
- affordable care act
- chronic pain
- acute respiratory distress syndrome
- patient reported
- health insurance
- extracorporeal membrane oxygenation