Assessing the quality of ReSPECT documentation using an accountability for reasonableness framework.

ABSTRACT:

Background

The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) form, which supports the ReSPECT process, is designed to prompt clinicians to discuss wider emergency treatment options with patients and to structure the documentation of decision-making for greater transparency.

Methods

Following an accountability for reasonableness framework (AFR), we analysed 141 completed ReSPECT forms (versions 1.0 and 2.0), collected from six National Health Service (NHS) hospitals in England during the early adoption of ReSPECT. Structured through an evaluation tool developed for this study, the analysis assessed the extent to which the records reflected consistency, transparency, and ethical justification of decision-making.

Results

Recommendations relating to

SUBMITTER: Eli K 

PROVIDER: S-EPMC8340300 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature