Priorities for Evaluating Palliative Care Outcomes in Intensive Care Units - 15/09/15

Doi : 10.1016/j.cnc.2015.05.001

Marie Bakitas, DNSc, CRNP, ACHPN, FAAN ^a,^⁎ , J. Nicholas Dionne-Odom, PhD, RN ^a, Arif Kamal, MD, MHS ^b, Jennifer M. Maguire, MD ^c
^a School of Nursing, Division of Geriatrics, Gerontology, and Palliative Care, University of Alabama at Birmingham, NB 2M019C, 1701 University Boulevard, Birmingham, AL 35233, USA
^b Division of Medical Oncology, Duke Palliative Care, Duke Clinical Research Institute, Duke University, 2400 Pratt Street, #8043, Durham, NC 27710, USA
^c Division of Pulmonary Diseases and Critical Care Medicine, University of North Carolina – Chapel Hill, Bioinformatics Building, Suite 4124, Campus Box 7020, Chapel Hill, NC 27599, USA

^∗Corresponding author. NB 2M019C, 1720 2nd Avenue, South, Birmingham, AL 35294-1210.

Résumé

Defining the quality of intensive care unit (ICU) care when patients are dying is challenging. Palliative care has been recommended to improve outcomes of dying ICU patients; however, traditional ICU quality indicators do not always align with palliative care. Evidence suggests that some aspects of ICU care improve when palliative care is integrated; however, consensus is lacking concerning the outcomes that should be measured. Overcoming challenges to measuring palliative care will require consensus development and rigorous research on the best way to evaluate ICU palliative care services.

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Keywords : Outcome measures, Evaluation, Intensive care unit, Palliative care, Performance measures