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Patient Identification for Serious Illness Conversations: A Scoping Review

Serious illness conversations aim to align medical care and treatment with patients’ values, goals, priorities, and preferences. Timely and accurate identification of patients for serious illness conversations is essential; however, existent methods for patient identification in different settings a...

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Detalles Bibliográficos
Autores principales: Baxter, Rebecca, Fromme, Erik K., Sandgren, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998898/
https://www.ncbi.nlm.nih.gov/pubmed/35409844
http://dx.doi.org/10.3390/ijerph19074162
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author Baxter, Rebecca
Fromme, Erik K.
Sandgren, Anna
author_facet Baxter, Rebecca
Fromme, Erik K.
Sandgren, Anna
author_sort Baxter, Rebecca
collection PubMed
description Serious illness conversations aim to align medical care and treatment with patients’ values, goals, priorities, and preferences. Timely and accurate identification of patients for serious illness conversations is essential; however, existent methods for patient identification in different settings and population groups have not been compared and contrasted. This study aimed to examine the current literature regarding patient identification for serious illness conversations within the context of the Serious Illness Care Program and/or the Serious Illness Conversation Guide. A scoping review was conducted using the Joanna Briggs Institute guidelines. A comprehensive search was undertaken in four databases for literature published between January 2014 and September 2021. In total, 39 articles met the criteria for inclusion. This review found that patients were primarily identified for serious illness conversations using clinical/diagnostic triggers, the ’surprise question’, or a combination of methods. A diverse assortment of clinicians and non-clinical resources were described in the identification process, including physicians, nurses, allied health staff, administrative staff, and automated algorithms. Facilitators and barriers to patient identification are elucidated. Future research should test the efficacy of adapted identification methods and explore how clinicians inform judgements surrounding patient identification.
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spelling pubmed-89988982022-04-12 Patient Identification for Serious Illness Conversations: A Scoping Review Baxter, Rebecca Fromme, Erik K. Sandgren, Anna Int J Environ Res Public Health Systematic Review Serious illness conversations aim to align medical care and treatment with patients’ values, goals, priorities, and preferences. Timely and accurate identification of patients for serious illness conversations is essential; however, existent methods for patient identification in different settings and population groups have not been compared and contrasted. This study aimed to examine the current literature regarding patient identification for serious illness conversations within the context of the Serious Illness Care Program and/or the Serious Illness Conversation Guide. A scoping review was conducted using the Joanna Briggs Institute guidelines. A comprehensive search was undertaken in four databases for literature published between January 2014 and September 2021. In total, 39 articles met the criteria for inclusion. This review found that patients were primarily identified for serious illness conversations using clinical/diagnostic triggers, the ’surprise question’, or a combination of methods. A diverse assortment of clinicians and non-clinical resources were described in the identification process, including physicians, nurses, allied health staff, administrative staff, and automated algorithms. Facilitators and barriers to patient identification are elucidated. Future research should test the efficacy of adapted identification methods and explore how clinicians inform judgements surrounding patient identification. MDPI 2022-03-31 /pmc/articles/PMC8998898/ /pubmed/35409844 http://dx.doi.org/10.3390/ijerph19074162 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Baxter, Rebecca
Fromme, Erik K.
Sandgren, Anna
Patient Identification for Serious Illness Conversations: A Scoping Review
title Patient Identification for Serious Illness Conversations: A Scoping Review
title_full Patient Identification for Serious Illness Conversations: A Scoping Review
title_fullStr Patient Identification for Serious Illness Conversations: A Scoping Review
title_full_unstemmed Patient Identification for Serious Illness Conversations: A Scoping Review
title_short Patient Identification for Serious Illness Conversations: A Scoping Review
title_sort patient identification for serious illness conversations: a scoping review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998898/
https://www.ncbi.nlm.nih.gov/pubmed/35409844
http://dx.doi.org/10.3390/ijerph19074162
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