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Table 5 Performance frequency of measures of palliative care structures in the ICU

From: Development of quality indicators for palliative care in intensive care units and pilot testing them via electronic medical record review

  

Total (n = 2)*

 

Indicators

%

Structure

 

16

Use of standardized pain measurement scales

100.0%

17

Use of standardized dyspnea measurement scales

0.0%

18

Use of standardized thirst measurement scales

0.0%

19

End-of-life-specific symptom management care protocols or order sets

0.0%

20

Access to a palliative care team when pain and other physical symptoms are difficult to control

100.0%

21

Access to a specialized psychiatric team in presence of delirium, anxiety, or other difficult-to-control psychiatric symptoms

100.0%

22

A policy that allows for flexible visitation opportunities in accordance with the family's wishes

100.0%

23

Rooms with privacy for discussions between health care providers and family members

100.0%

24

A system to provide mental health care to patients and their families

100.0%

25

Leaflet for family members, including information on orientation to the ICU environment and delirium care

100.0%

26

A "Critical Care Mediator for Inpatients" is in place

0.0%

27

Regular opportunities for ICU staff to reflect on their end-of-life care experiences to support their emotional well-being

100.0%

28

Access to palliative care specialists and other professionals to discuss ethical issues related to treatment

100.0%

  1. *Structure QI is a per-site evaluation; thus, the total represents two sites, the General ICU and Emergency ICU
  2. ICU: intensive care unit