A Resident-Led Initiative to Increase Documentation of Surrogate Decision Makers for Hospitalized Patients.

ABSTRACT:

Background

Identification of surrogate decision makers (SDMs) is an important part of advance care planning for hospitalized patients. Despite its importance, the best methods for engaging residents to sustainably improve SDM documentation have not been identified.

Objective

We implemented a hospital-wide quality improvement initiative to increase identification and documentation of SDMs in the electronic health record (EHR) for hospitalized patients, utilizing a Housestaff Quality and Safety Council (HQSC).

Methods

EHR documentation of SDMs for all adult patients admitted to a tertiary academic hospital, excluding psychiatry, were tracked and grouped by specialty in a weekly run chart during the intervention period (July 2015 through April 2016). This also continued

SUBMITTER: Dueker JM 

PROVIDER: S-EPMC6570449 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature