ArticleJournal of intensive care2024
Development of quality indicators for palliative care in intensive care units and pilot testing them via electronic medical record review.
Article in Journal of intensive care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Development of a breastfeeding co-parenting intervention program for couples with primiparas: a program development process study.BMC pregnancy and childbirth · 2024Pooled it
- Specialist palliative care in different intensive care unit populations: a retrospective longitudinal study.BMC palliative care · 2026Article
- Article
- Palliative care and end-of-life quality indicators in critical patients in ICU: systematic review protocol.BMJ open · 2025Article
- Article
- Consensus statements on end-of-life care in ICU - A Scandinavian multidisciplinary Delphi study.Acta anaesthesiologica Scandinavica · 2025Article
- The Real-World Effect of Early Screening for Palliative Care Criteria in a Medical Intensive Care Unit: An Instrumental Variable Analysis.Annals of the American Thoracic Society · 2025Article
- Translation and cross-cultural adaptation of the Quality of Palliative Care in the Intensive Care Unit questionnaire.Critical care science · 2025Article
- Communication, Shared Decision-making and Goals of Care in the ICU through Electronic Health Records: A Scoping Review.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024Article
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Authors and funding
9 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients in intensive care units (ICUs) often require quality palliative care for relief from various types of suffering. To achieve quality palliative care, specific goals need to be identified, measured, and reported. The present study aimed to develop quality indicators (QIs) for palliative care in ICUs, based on a systematic review and modified Delphi method, and test their feasibility by reviewing electronic medical record (EMR) data.
methodsThe current study was performed in two phases: the development of QIs using the modified Delphi method, and pilot-testing the quality of palliative care in ICUs based on EMR review. The pilot test included 262 patients admitted to the general or emergency ICU at a university hospital from January 1, 2019, to June 30, 2019.
resultsA 28-item QI set for palliative care in ICUs was developed based on the consensus of 16 experts. The Delphi process resulted in low measurability ratings for two items: "Assessment of the patient's psychological distress" and "Assessment of the patient's spiritual and cultural practices." However, these items were determined to be important for quality care from the perspective of holistic assessment of distress and were adopted in the final version of the QI set. While the pilot test results indicated the feasibility of the developed QIs, they suggested that the frequency of care performance varied, and certain aspects of palliative care in ICUs needed to be improved, namely (1) regular pain assessment, (2) identification of the patient's advance directive and advance care planning for treatment, (3) conducting an interdisciplinary family conference on palliative care, and (4) assessment of psychological distress of family members.
conclusionsThe QI set, developed using the modified Delphi method and tested using EMR data, provided a tool for assessing the quality of palliative care in ICUs. In the two ICUs considered in this study, aspects of the palliative care process with a low performance frequency were identified, and further national surveys were recommended. It is necessary to conduct ongoing surveys at more facilities to improve the quality of palliative care in ICUs.
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