Journal of pain and symptom management · 2025
Implementing a Best Practice Guideline for Withdrawing Life Sustaining Therapies at a Large Pediatric Hospital.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Mauser David, Bartiss Maeve, Lipsitz Josh, Sawyer Kim, Carpenter Alana, Crawford Claire, Franklin Nikashia, Coleman Ryan, Casas Jessica
Аннотация
BACKGROUND: Withdrawal of Life Sustaining Therapies (WOLST) is a critical procedure in up to 50% of inpatient pediatric deaths. No best practice guideline (BPG) exists. We aimed to develop and implement a BPG and standard note template for WOLST procedures.
MEASURES: The smart aim was to increase use of the tools by 20% within 6 months. The measures were the percentage of tools used (process), usefulness of the tool (outcome), and narrative responses to identify unintended consequences (balance).
INTERVENTION: PDSA cycles include engagement of stakeholders to create the tools, BPG distribution, and presentations to intensive care units.
OUTCOMES: Of those who used the tools, 100% found the note helpful and 95% found the BPG helpful. 65% and 78% of respondents reported not knowing about the note template or BPG, respectively.
CONCLUSION/LESSONS LEARNED: Implementation of a BPG in pediatric WOLST procedure is feasible and helpful when used. Future work includes improved dissemination of the tool.
MEASURES: The smart aim was to increase use of the tools by 20% within 6 months. The measures were the percentage of tools used (process), usefulness of the tool (outcome), and narrative responses to identify unintended consequences (balance).
INTERVENTION: PDSA cycles include engagement of stakeholders to create the tools, BPG distribution, and presentations to intensive care units.
OUTCOMES: Of those who used the tools, 100% found the note helpful and 95% found the BPG helpful. 65% and 78% of respondents reported not knowing about the note template or BPG, respectively.
CONCLUSION/LESSONS LEARNED: Implementation of a BPG in pediatric WOLST procedure is feasible and helpful when used. Future work includes improved dissemination of the tool.