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The Ethics of Using Quality Improvement Methods in Health Care
Americans expect high-quality health caresafe, effective, patient-centered, timely, equitable, and efficient (1). Unfortunately, reality falls short of this ideal. A growing literature documentsExpand
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Determining when quality improvement initiatives should be considered research: proposed criteria and potential implications.
Quality improvement initiatives have become a major force in shaping health care. These initiatives are diverse but share a common goal of generating knowledge that will guide improvements in healthExpand
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Improving the use of hospice services in nursing homes: a randomized controlled trial.
CONTEXT Hospice care may improve the quality of end-of-life care for nursing home residents, but hospice is underutilized by this population, at least in part because physicians are not aware ofExpand
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Are special ethical guidelines needed for palliative care research?
Recent studies have made it clear that there are substantial opportunities to improve end-of-life care. Doing so will require solid evidence on which to base clinical and policy decisions and this,Expand
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Timing of referral to hospice and quality of care: length of stay and bereaved family members' perceptions of the timing of hospice referral.
Previous research has noted that many persons are referred to hospice in the last days of life. The National Hospice and Palliative Care Organization collaborated with Brown Medical School to createExpand
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Do Palliative Consultations Improve Patient Outcomes?
OBJECTIVES: To determine whether inpatient palliative consultation services improve outcomes of care.
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Ethical considerations in end-of-life care and research.
The goal of good palliative care is to relieve suffering and to improve quality of life. However, it is clear that access to palliative care is inconsistent. At least in part, these deficienciesExpand
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Families' perceptions of veterans' distress due to post-traumatic stress disorder-related symptoms at the end of life.
OBJECTIVES To define the frequency of post-traumatic stress disorder (PTSD)-related symptoms among veterans who are near the end of life and to describe the impact that these symptoms have onExpand
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Measuring what matters: top-ranked quality indicators for hospice and palliative care from the American Academy of Hospice and Palliative Medicine and Hospice and Palliative Nurses Association.
CONTEXT Measuring quality of hospice and palliative care is critical for evaluating and improving care, but no standard U.S. quality indicator set exists. OBJECTIVES The Measuring What MattersExpand
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The ability of persons with Alzheimer disease (AD) to make a decision about taking an AD treatment
Objective: To examine the severity of impairments in the decision-making abilities (understanding, appreciation, reasoning, and choice) and competency to make a decision to use an Alzheimer diseaseExpand
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