Improving incidence of code status documentation through process and discipline.
J Oncol Pract
; 11(2): e263-6, 2015 Mar.
Article
em En
| MEDLINE
| ID: mdl-25784582
ABSTRACT
Documentation of a patient's preferred code status is a critical outcome of advance care planning. Although there is agreement that code status is valuable information, little progress has been made to increase the incidence of documented code status within the medical record in an outpatient setting. Incidence of code status documentation in the community oncology setting has not been studied. In April 2013, the US Oncology Network and McKesson Specialty Health launched a new advance care planning initiative for the purpose of promoting conversations between clinicians and patients regarding end-of-life care preferences. The program-My Choices, My Wishes-provides a systematic approach for learning about and documenting a patient's values and goals for care in the electronic health record. Code status documentation is one of several program performance measures. During the 14-month period from August 1, 2013, through September 30, 2014, collective sites participating in My Choices, My Wishes included discrete code status documentation within the medical record for 5,467 patients with metastatic disease. Although much work remains, early results show promise for improvement in incidence of code status documentation within health records in the outpatient setting.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Ordens quanto à Conduta (Ética Médica)
/
Planejamento Antecipado de Cuidados
/
Documentação
/
Registros Eletrônicos de Saúde
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
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Risk_factors_studies
Aspecto:
Ethics
Limite:
Aged
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Oncol Pract
Ano de publicação:
2015
Tipo de documento:
Article