TY - JOUR
T1 - Hospital care at the end of life
T2 - An institutional assessment
AU - Jacobs, Laurie G.
AU - Bonuck, Karen
AU - Burton, William
AU - Mulvihill, Michael
N1 - Funding Information:
This project was supported by a grant under the “Hospital Palliative Care Initiative” by the United Hospital Fund, 350 Fifth Avenue, New York, NY 10118 USA.
PY - 2002/9/1
Y1 - 2002/9/1
N2 - Decisions about care at the end of life are not only influenced by doctor-patient-family relationships and physician practice, but also by institutional "culture." An institutional assessment of the quality of care provided to dying hospitalized patients was undertaken to characterize and identify factors influencing it and to find opportunities for improvement. An analysis of hospital data, three physician and nursing focus group discussions, structured review of records of targeted patients (61) who had an "expected death," and interviews with 31 surviving family members of the targeted patients served as the basis for an institutional needs assessment intended to precede the development of a quality improvement program to improve hospital care of patients at the end of life. Data were primarily gathered regarding older adults, including a significant number of nursing home residents. The assessment led to a methodology for developing a quality improvement program based upon feedback to physicians and nurses regarding the quality of end-of-life care.
AB - Decisions about care at the end of life are not only influenced by doctor-patient-family relationships and physician practice, but also by institutional "culture." An institutional assessment of the quality of care provided to dying hospitalized patients was undertaken to characterize and identify factors influencing it and to find opportunities for improvement. An analysis of hospital data, three physician and nursing focus group discussions, structured review of records of targeted patients (61) who had an "expected death," and interviews with 31 surviving family members of the targeted patients served as the basis for an institutional needs assessment intended to precede the development of a quality improvement program to improve hospital care of patients at the end of life. Data were primarily gathered regarding older adults, including a significant number of nursing home residents. The assessment led to a methodology for developing a quality improvement program based upon feedback to physicians and nurses regarding the quality of end-of-life care.
KW - Hospital end-of-life care
KW - Institutional assessment
KW - Quality of care
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U2 - 10.1016/S0885-3924(02)00494-3
DO - 10.1016/S0885-3924(02)00494-3
M3 - Article
C2 - 12458110
AN - SCOPUS:0036758264
SN - 0885-3924
VL - 24
SP - 291
EP - 298
JO - Journal of Pain and Symptom Management
JF - Journal of Pain and Symptom Management
IS - 3
ER -