Updated May 5, 2003
These domains, quality indicators and interventions or behaviors were generated in a modified Delphi approach as described in the following article: Clarke EB, Curtis JR, Luce JM, Levy M, Nelson J, Solomon MZ, for The Robert Wood Johnson Foundation Critical Care End-of-Life Peer Workgroup Members. Quality indicators for end-of-life care in the intensive care unit. Critical Care Medicine 2003, in press.
The items under each domain represent potential suggestions for clinician and/or organizational interventions or behaviors that may improve the quality of end-of-life care in the ICU setting. Most of these interventions or behaviors have not been tested in randomized trials and the majority of them represent expert clinician opinion.
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AUTHORS OF THESE DOMAINS: Ellen B. Clarke, RN, MS, Ed.D - Center for Applied Ethics and Professional Practice, Education Development Center, Inc., Newton, MA; CORRESPONDING AUTHOR: FINANCIAL SUPPORT: The Robert Wood Johnson Foundation |
Table of Contents
The quality indicators under each end-of-life-care (EOLC) domain are in bold print and the clinician and organizational interventions/behaviors associated with the quality indicators are the bulleted items. This document is available in both HTML (via the hyperlinks below) and as a PDF download.
PDF 216 KB / 15 pages
Acknowledgements
Domain 1 - Patient and Family Centered Decision Making
Domain 2 - Communication within the Team & Patients/Families
Domain 3 - Continuity of Care
Domain 4 – Emotional & Practical Support for Patients/Families
Domain 5 – Symptom Management & Comfort Care
Domain 6 – Spiritual Support for Patients/Families
Domain 7 – Emotional & Organizational Support for ICU Clinicians
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