A Resident-Led Quality Improvement Initiative to Increase End-of-Life Planning in Primary Care.

ABSTRACT: Background Despite many benefits of end-of-life (EOL) planning, only 1 in 3 adults has EOL documentation, with low rates in resident primary care clinics as well. Objective To increase clinic completion of life-sustaining treatment (LST) notes and advance directives (AD) for veterans at highest risk for death. Methods The setting was a Veterans Affairs (VA) internal medicine primary care clinic. All clinic residents in the 2021-2022 academic year and all clinic patients identified through a VA risk-stratification tool as highest risk for death were included. Baseline AD and LST completion rates were determined through manual chart review. Our interventions included 2 hours of teaching to increase resident knowledge of EOL planning and a systematic process improvement t

SUBMITTER: Wagen B 

PROVIDER: S-EPMC11475438 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature