Validation of quality indicators for end-of-life communication: results of a multicentre survey.

ABSTRACT:

Background

The lack of validated quality indicators is a major barrier to improving end-of-life communication and decision-making. We sought to show the feasibility of and provide initial validation for a set of quality indicators related to end-of-life communication and decision-making.

Methods

We administered a questionnaire to patients and their family members in 12 hospitals and asked them about advance care planning and goals-of-care discussions. Responses were used to calculate a quality indicator score. To validate this score, we determined its correlation with the concordance between the patients' expressed wishes and the medical order for life-sustaining treatments recorded in the hospital chart. We compared the correlation with concordance for the advance care plan

SUBMITTER: Heyland DK 

PROVIDER: S-EPMC5536987 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature