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End of life outside of "business hours" : a retrospective review evaluating time of death and provider time at end of life
Article
Introduction: Pediatric palliative care (PPC) benefits patients and families, while potentially creating emotional and resource-management burdens for providers. This study's purpose was to characterize the occurrence of deaths attended by PPC providers outside of "business hours."
Methods: N = 786 PPC patients at a single center died between 2008 and 2015. Descriptive statistics were prepared for all variables (Wilcoxon rank-sum test for continuous; chi-square or Fisher's exact test for categorical).
Results: N = 434 (55%) of deaths occurred outside of business hours; n = 332 (70%) were attended by PPC. Time spent attending a death was not significantly longer when other PPC providers were present but was when certain tasks were performed (coordination with medical examiner and memory making).
Conclusion: The occurrence of the majority of deaths outside of business hours has significant implications for service delivery models, provider emotional health, and health care value.
http://dx.doi.org/10.1089/jpm.2021.0127
Voir la revue «JOURNAL OF PALLIATIVE MEDICINE, 24»
Autres numéros de la revue «JOURNAL OF PALLIATIVE MEDICINE»
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