Standardizing Communications Improves Use of Palliative Care in Patients With Stroke |
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| Affiliation: | 1. Division of Endocrinology, Diabetes & Metabolism, Leonard M. Miller School of Medicine, University of Miami, Miami, FL, USA;2. Department of Neurology, Leonard M. Miller School of Medicine, University of Miami, Miami, FL, USA;3. Department of Epidemiology and Public Health, Leonard M. Miller School of Medicine, University of Miami, Miami, FL, USA;4. Evelyn F. McKnight Brain Institute, Leonard M. Miller School of Medicine, University of Miami, Miami, FL, USA;5. Department of Biostatistics, Mailman Public School of Health, Columbia University, New York, NY, USA;6. Stroke Division, Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA;7. Department of Epidemiology, Mailman Public School of Health, Columbia University, New York, NY, USA;8. Neuroscience Program, Leonard M. Miller School of Medicine, University of Miami, Miami, FL, USA |
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| Abstract: | Patients who have sustained a severe stroke have immediate palliative care needs, and poor communication is a gap in quality that increases length of stay (LOS) and costs, which decreases efficient resource utilization. To standardize communication between families and treatment teams in the intensive care unit (ICU) and demonstrate improvement in LOS and costs, a communication bundle was prospectively implemented in 22 patients and compared against a retrospective control arm of 22 patients. The intervention group demonstrated significant improvement in median ICU and hospital LOS and ICU costs. Standardizing communication significantly improved resource utilization in severe stroke patients. |
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| Keywords: | communication bundle palliative care quality improvement quality of life stroke |
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