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CAPC Palliative Care Discussion Forum
Data Collection and Measurement

Next Reply: Re:Utility of Mortality Chart Review
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Post Utility of Mortality Chart Review
Author: Lustbader
Date: Sep 22, 2010 4:33 pm
Our large hospital health care system is starting a new standardized mortality review process using retrospective chart review for all deceased patients. Is this a useful methodology for identifiying missed palliative care opportunities (i.e. hospice referral, goals of care discussion, symptom management)? Are there specific questions which would identify areas of excessive/non beneficial care? Can we really figure out what happened to the patient by reading the medical record?
Dana Lustbader MD, FCCM, FCCP
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Re:Utility of Mortality Chart Review (by Weissman on 11/01/2010)
Hi Dana--chart reviews are especially good for looking at process measures, such as documentation of conversations. I think they are less good for measuring quality of actual patient care as so much happens that never makes it into the record. I'd look for the kinds of process measures described in the IPAL-ICU site quality of care monograph.

http://www.capc.org/ipal-icu/monographs-and-publications/

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