The Permanente Journal | |
Trend of Decreased Length of Stay in the Intensive Care Unit (ICU) and in the Hospital with Palliative Care Integration into the ICU | |
Eluned Mun, MS, MSN, DNP, APRN-Rx, AGNP-BC, CCRN1  | |
关键词: Trend of Decreased Length of Stay in the Intensive Care Unit (ICU) and in the Hospital with Palliative Care Integration into the ICU; | |
DOI : 10.7812/TPP/16-036 | |
学科分类:医学(综合) | |
来源: Permanente Medical Group | |
【 摘 要 】
Context: Is a decrease in length of stay (LOS) in the intensive care unit (ICU) and hospital possible with the implementation of a structured, palliative care, quality-improvement program in the ICU?Objective: Incorporate palliative care into the routine ICU workflow to increase the numbers of palliative care consultations, improve end-of-life care in the ICU, and demonstrate an impact on ICU and/or hospital LOS.Design: A program was developed that followed recommendations from the Center to Advance Palliative Careâs Improving Palliative Care in the ICU project. This program included selecting trigger criteria and a care model, forming guidelines, and developing evaluation criteria. The early identification of multiple measures led to proactive meetings with ICU patientsâ families and/or palliative care consultations.Main Outcome Measures: Early identification of advance directives, code status, goals of care, and ICU LOS and hospital LOS.Results: A comparison between pre- and postintervention data showed positive trends in measured outcomes, including increased early identification of advance directives, code status, and goals of care along with a decrease in ICU LOS and hospital LOS. In addition, the number of ICU family meetings and palliative care consultations increased.Conclusion: It was concluded that providing palliative care in the ICU is feasible and may decrease both ICU LOS and overall hospital LOS.
【 授权许可】
Unknown
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RO201904286616277ZK.pdf | 13352KB | download |