Oliver Jill, Chidwick Paula
Member of the William Osler Health System, in Brampton, Ontario.
Member of the William Osler Health System.
Healthc Q. 2014;17(1):54-9. doi: 10.12927/hcq.2014.23777.
We know that errors related to consent, capacity and substitute decision-making can lead to transfers from long-term care to hospital that seniors do not want and cannot benefit from. Three ethics quality improvement projects were launched to minimize errors in decision-making to work towards providing care residents want and can benefit from. We learned that there is a systemic barrier, namely the level-of-care form that undermines the efforts made by long-term care staff to meet their ethical and legal obligations. Because of the use of these forms, residents can receive treatment that they do not want or could not benefit from, including transfer to hospital.
我们知道，与同意、行为能力和替代决策相关的失误可能导致老年人不希望且无法从中受益的从长期护理机构转至医院的情况。开展了三个伦理质量改进项目，以尽量减少决策失误，努力提供居民希望且能从中受益的护理。我们了解到存在一个系统性障碍，即护理级别表格，它破坏了长期护理工作人员履行其伦理和法律义务所做的努力。由于使用这些表格，居民可能会接受他们不想要或无法从中受益的治疗，包括转院。
