ETHICS ISSUE 3: Ethical Practices in End-of-Life Care—Other 2. Ethical 3. Ethical Standard 4. Best Ethics 5. Metric 5. Current 1. Ethics Issue Standard Description(s) with Practice Ethics Practice Source(s) Exclusions “Should” “Is” Nursing staff on the American Medical Patients should be able Physicians should Numerator: 30 ÷ 100 = 30% acute care medical Association to trust that their continue to round Number of dying floor have reported Statement on physician will continue to daily on dying patients who were Currently, 30% of that they are having Care care for them when medicine patients that visited daily by a physicians round on an increasingly dying. If a physician are waiting to be physician while Facility Policy on dying patients at difficult time must transfer the discharged to another waiting to be Management of least once per day persuading physicians patient in order to care setting [unless discharged to another Information while the patient is to round on dying provide quality care, that Patient does not wish care setting waiting to be patients waiting to be physician should make to have his/her discharged to __________________ discharged to another every reasonable effort physician round on a another care setting. care setting—and that to continue to visit the daily basis]. Denominator: patients continue to patient with regularity, Total number of dying ask when the doctor and institutional systems patients waiting to be will be in to visit and should try to discharged to another wonder why the accommodate this. care setting doctor has stopped Facility policy states that Method: Observation coming every day. patients should receive Sample size: 20 the same care by all patients treating providers, and patients on acute care Time frame for data floors should be seen collection: 5 days daily. Exclusion(s): Patient does not wish to have his/her physician round on a daily basis. MODULE 3 MODULE 4 MODULE 2
ETHICS ISSUE 3: Ethical Practices in End-of-Life Care—Other 1. Ethics Issue 2. Ethical Standard Source(s) 3. Ethical Standard Description(s) with Exclusions 4. Best Ethics Practice “Should” 5. Metric 5. Current Ethics Practice “Is” Nursing staff on the acute care medical floor have reported that they are having an increasingly difficult time persuading physicians to round on dying patients waiting to be discharged to another care setting—and that patients continue to ask when the doctor will be in to visit and wonder why the doctor has stopped coming every day. American Medical Association Statement on Care Facility Policy on Management of Information Patients should be able to trust that their physician will continue to care for them when dying. If a physician must transfer the patient in order to provide quality care, that physician should make every reasonable effort to continue to visit the patient with regularity, and institutional systems should try to accommodate this. Facility policy states that patients should receive the same care by all treating providers, and patients on acute care floors should be seen daily. Exclusion(s): Patient does not wish to have his/her physician round on a daily basis. Physicians should continue to round daily on dying medicine patients that are waiting to be discharged to another care setting [unless Patient does not wish to have his/her physician round on a daily basis]. Numerator: Number of dying patients who were visited daily by a physician while waiting to be discharged to another care setting __________________ Denominator: Total number of dying patients waiting to be discharged to another care setting Method: Observation Sample size: 20 patients Time frame for data collection: 5 days 30 ÷ 100 = 30% Currently, 30% of physicians round on dying patients at least once per day while the patient is waiting to be discharged to another care setting. MODULE 2 MODULE 3 MODULE 4
pe_btb_mod4_handouts_final_06162014.docx