Development of an emergency department end of life care audit tool: A scoping review
Introduction: Emergency departments frequently care for patients at the end of life and should have robust processes for reviewing delivery of care. The aim of this scoping review is to examine and collate the chart audit tools available to assess the quality of end of life care of patients who die...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | International Journal of Nursing Studies Advances |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666142X23000279 |
| _version_ | 1797401678990802944 |
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| author | Melissa Heufel Sarah Kourouche Kate Curtis |
| author_facet | Melissa Heufel Sarah Kourouche Kate Curtis |
| author_sort | Melissa Heufel |
| collection | DOAJ |
| description | Introduction: Emergency departments frequently care for patients at the end of life and should have robust processes for reviewing delivery of care. The aim of this scoping review is to examine and collate the chart audit tools available to assess the quality of end of life care of patients who die in the emergency department, or, in the subsequent hospital admission. Methods: A scoping review of the literature using the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) guidelines, and the methodological framework outlined by Arksey and O'Malley was conducted. Primary and secondary research, along with grey literature were searched. Both adult and paediatric populations were included. Databases Ovid Emcare, CINAHL and Medline were searched from 1961 to December 2022; followed by screening and appraisal. Articles were compared and data synthesised into categories. Results: Fifty-eight articles were included generating three categories; contexts for end of life audit use, development and evaluation of audit tools, and audit characteristics / components. Four tools focused on the emergency department, however, did not comprehensively review both end of life and emergency department specific data. A draft audit tool for the emergency department was developed that consisted of the common elements to evaluate end of life care as identified in this review, emergency department-specific quality of care measures and the integration of the Criteria for Screening and Triaging to Appropriate aLternative care (CriSTAL) tool. Conclusion: No audit tool to comprehensively review end of life care provided for patients at the end of life in the emergency department was found. We developed an audit tool based on best available evidence that now needs testing for validity, feasibility, and usability to evaluate end of life in the emergency department setting is required. |
| first_indexed | 2024-03-09T02:13:33Z |
| format | Article |
| id | doaj.art-4e687995e3c84e799bc8895d3fbddbd7 |
| institution | Directory Open Access Journal |
| issn | 2666-142X |
| language | English |
| last_indexed | 2024-03-09T02:13:33Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Studies Advances |
| spelling | doaj.art-4e687995e3c84e799bc8895d3fbddbd72023-12-07T05:30:29ZengElsevierInternational Journal of Nursing Studies Advances2666-142X2023-12-015100143Development of an emergency department end of life care audit tool: A scoping reviewMelissa Heufel0Sarah Kourouche1Kate Curtis2Faculty of Medicine and Health, Sydney Nursing School, University of Sydney, Susan Wakil School of Nursing and Midwifery, 88 Mallet St, Camperdown, NSW 2006, Australia; Emergency Department, Wollongong Hospital, Illawarra Shoalhaven Local Health District, Crown St, Wollongong, NSW, Australia; Illawarra Health and Medical Research Institute, University of Wollongong, Building 32, Northfields Avenue, Wollongong, NSW, Australia; Corresponding author at: Faculty of Medicine and Health, Sydney Nursing School, University of Sydney, Susan Wakil School of Nursing and Midwifery, 88 Mallet St, Camperdown, NSW 2006, Australia.Faculty of Medicine and Health, Sydney Nursing School, University of Sydney, Susan Wakil School of Nursing and Midwifery, 88 Mallet St, Camperdown, NSW 2006, AustraliaFaculty of Medicine and Health, Sydney Nursing School, University of Sydney, Susan Wakil School of Nursing and Midwifery, 88 Mallet St, Camperdown, NSW 2006, Australia; Emergency Department, Wollongong Hospital, Illawarra Shoalhaven Local Health District, Crown St, Wollongong, NSW, Australia; Illawarra Health and Medical Research Institute, University of Wollongong, Building 32, Northfields Avenue, Wollongong, NSW, AustraliaIntroduction: Emergency departments frequently care for patients at the end of life and should have robust processes for reviewing delivery of care. The aim of this scoping review is to examine and collate the chart audit tools available to assess the quality of end of life care of patients who die in the emergency department, or, in the subsequent hospital admission. Methods: A scoping review of the literature using the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) guidelines, and the methodological framework outlined by Arksey and O'Malley was conducted. Primary and secondary research, along with grey literature were searched. Both adult and paediatric populations were included. Databases Ovid Emcare, CINAHL and Medline were searched from 1961 to December 2022; followed by screening and appraisal. Articles were compared and data synthesised into categories. Results: Fifty-eight articles were included generating three categories; contexts for end of life audit use, development and evaluation of audit tools, and audit characteristics / components. Four tools focused on the emergency department, however, did not comprehensively review both end of life and emergency department specific data. A draft audit tool for the emergency department was developed that consisted of the common elements to evaluate end of life care as identified in this review, emergency department-specific quality of care measures and the integration of the Criteria for Screening and Triaging to Appropriate aLternative care (CriSTAL) tool. Conclusion: No audit tool to comprehensively review end of life care provided for patients at the end of life in the emergency department was found. We developed an audit tool based on best available evidence that now needs testing for validity, feasibility, and usability to evaluate end of life in the emergency department setting is required.http://www.sciencedirect.com/science/article/pii/S2666142X23000279AuditDeathEmergency serviceHospitalEmergency departmentEnd of life |
| spellingShingle | Melissa Heufel Sarah Kourouche Kate Curtis Development of an emergency department end of life care audit tool: A scoping review International Journal of Nursing Studies Advances Audit Death Emergency service Hospital Emergency department End of life |
| title | Development of an emergency department end of life care audit tool: A scoping review |
| title_full | Development of an emergency department end of life care audit tool: A scoping review |
| title_fullStr | Development of an emergency department end of life care audit tool: A scoping review |
| title_full_unstemmed | Development of an emergency department end of life care audit tool: A scoping review |
| title_short | Development of an emergency department end of life care audit tool: A scoping review |
| title_sort | development of an emergency department end of life care audit tool a scoping review |
| topic | Audit Death Emergency service Hospital Emergency department End of life |
| url | http://www.sciencedirect.com/science/article/pii/S2666142X23000279 |
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