Nephrologist-Facilitated Advance Care Planning for Hemodialysis Patients: A Quality Improvement Project.

ABSTRACT:

Background

The Renal Physicians Association's clinical practice guideline recommends that physicians address advance care planning with dialysis patients. However, data are lacking about how best to implement this recommendation.

Study design

Quality improvement project.

Settings & participants

Nephrologists caring for patients treated with maintenance hemodialysis at 2 dialysis facilities identified patients who might benefit most from advance care planning using the "surprise" question ("Would I be surprised if this patient died in the next year?").

Quality improvement plan

Patients identified with a "no" response to the surprise question were invited to participate in nephrologist-facilitated advance care planning, including completion of a Medical Orders fo

SUBMITTER: Amro OW 

PROVIDER: S-EPMC4921274 | biostudies-literature | 2016 Jul

REPOSITORIES: biostudies-literature