Priorities for Evaluating Palliative Care Outcomes in Intensive Care Units

Crit Care Nurs Clin North Am. 2015 Sep;27(3):395-411. doi: 10.1016/j.cnc.2015.05.001. Epub 2015 Jun 26.

Abstract

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.

Keywords: Evaluation; Intensive care unit; Outcome measures; Palliative care; Performance measures.

Publication types

  • Review

MeSH terms

  • Humans
  • Intensive Care Units / standards*
  • Outcome and Process Assessment, Health Care / organization & administration
  • Palliative Care / organization & administration
  • Palliative Care / standards*
  • Quality of Health Care / organization & administration
  • Terminal Care / organization & administration
  • Treatment Outcome