Earlier identification of seriously ill patients: an implementation case series.
Joshua R LakinMeghna P DesaiKyle EngelmanNina O'ConnorWinifred G TeutebergAlison CoackleyLaurel B KilpatrickAtul GawandeErik K FrommePublished in: BMJ supportive & palliative care (2019)
Involving clinical and programme staff to choose a simple initial method for patient identification is the ideal starting place for selecting patients for palliative care interventions. However, improving and refining methods over time is important and we need ongoing research into better patient selection methodologies that move beyond mortality prediction and instead focus on identifying seriously ill patients-those with poor quality of life, worsening functional status and medical care that is negatively impacting their families.