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Dublin Core
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June 2021 List
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June 2021 List
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<a href="http://doi.org/10.1016/j.jpainsymman.2021.04.006" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jpainsymman.2021.04.006</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Using Quality Improvement Science to Create a Navigator in the Electronic Health Record for the Consolidation of Patient Information Surrounding Pediatric End-of-Life Care
Publisher
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Journal of Pain and Symptom Management
Date
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2021
Subject
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code status; documentation; electronic health record; end of life care; models of palliative care delivery; pediatrics
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Casas J; Jeppesen A; Peters L; Schuelke T; Magdoza NRK; Hesselgrave J; Loftis L
Description
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BACKGROUND: It is important to document the domains surrounding end-of-life (EOL) care in the electronic health record (EHR). No pediatric navigator exists for these purposes. MEASURES: Medical charts were reviewed for documentation surrounding code status and care at the time of death from January 2017 to June 2019. INTERVENTION: Creation of a navigator in the EHR to consolidate advance care planning documents, code status orders and notes and EOL flowsheets. OUTCOMES: After implementing the navigator, 96% code status changes had supporting documentation, an increase of 35%. The percentage of deaths supported by a psychosocial team (social worker, chaplain and certified child life specialist) increased by 25%. Post-mortem documentation became electronic. Patient level metrics began to be electronically collected. CONCLUSIONS/LESSONS LEARNED: Little has been published regarding use of the EHR to consolidate EOL documentation in pediatrics. Development of a systematic approach to documentation is critical to providing EOL care and standardizing care delivered.
Identifier
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<a href="http://doi.org/10.1016/j.jpainsymman.2021.04.006" target="_blank" rel="noreferrer noopener">10.1016/j.jpainsymman.2021.04.006</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2021
Casas J
Code status
Documentation
electronic health record
End Of Life Care
Hesselgrave J
Jeppesen A
Journal of Pain and Symptom Management
June 2021 List
Loftis L
Magdoza NRK
models of palliative care delivery
Pediatrics
Peters L
Schuelke T