Division of Palliative and End-of-Life Care, Department of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
J Pain Symptom Manage. 2011 Nov;42(5):652-6. doi: 10.1016/j.jpainsymman.2011.07.002.
Not knowing about a child's death can result in poor quality of care coordination among staff and poor quality bereavement care for families. The purpose of this project was to create, implement, and evaluate an automated Patient Death Notification policy and procedure (PDNPP).
Baseline and follow-up surveys of clinical staff.
Implementation of a PDNPP that created an automated, systematic process for staff notification of patient deaths.
Ninety-six percent of the staff rated the PDNPP as a significant improvement; 91% reported being "very" or "somewhat" satisfied with the PDNPP, whereas only 44% of the staff were satisfied with the process at baseline.
CONCLUSIONS/LESSONS LEARNED: Implementation of an automated PDNPP was feasible and improved staff satisfaction about how they were informed of patient deaths. Staff also reported being notified about patient deaths more quickly, performing their jobs more efficiently, being able to avoid doing something that might upset the deceased patient's family, and being able to better provide support to bereaved families.
医护人员若对患儿死亡不知情，可能会导致其在协调医护工作时质量不佳，也无法为患儿家属提供优质的哀伤抚慰服务。本项目旨在创建、实施和评估一个自动的患儿死亡通知政策和程序（PDNPP）。
对临床医护人员进行基线和随访调查。
实施 PDNPP，为医护人员通知患儿死亡创建一个自动化、系统化的流程。
96%的员工认为 PDNPP 有显著改善；91%的员工表示对 PDNPP“非常”或“有些”满意，而基线时只有 44%的员工对该流程感到满意。
结论/经验教训：实施自动 PDNPP 是可行的，并提高了员工对其收到患儿死亡通知的满意度。员工还报告说，他们更快地收到了患儿死亡的通知，工作效率更高，能够避免做可能让已故患儿家属不安的事情，并能够更好地为失去亲人的家庭提供支持。
