{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:20:56Z","timestamp":1777922456707,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T00:00:00Z","timestamp":1682553600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T00:00:00Z","timestamp":1682553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Palliat Care"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    International standards of end-of-life care (EOLC) intend to guide the delivery of safe and high-quality EOLC. Adequately documented care is conducive to higher quality of care, but the extent to which EOLC standards are documented in hospital medical records is unknown. Assessing which EOLC standards are documented in patients\u2019 medical records can help identify areas that are performed well and areas where improvements are needed. This study assessed cancer decedents\u2019 EOLC documentation in hospital settings.\n                    <jats:bold>Methods:<\/jats:bold>\n                    Medical records of 240 cancer decedents were retrospectively evaluated. Data were collected across six Australian hospitals between 1\/01\/2019 and 31\/12\/2019. EOLC documentation related to Advance Care Planning (ACP), resuscitation planning, care of the dying person, and grief and bereavement care was reviewed. Chi-square tests assessed associations between EOLC documentation and patient characteristics, and hospital settings (specialist palliative care unit, sub-acute\/rehabilitation care settings, acute care wards, and intensive care units).\n                    <jats:bold>Results:<\/jats:bold>\n                    Decedents\u2019 mean age was 75.3 years (SD 11.8), 52.0% (n\u2009=\u2009125) were female, and 73.7% lived with other adults or carers. All patients (n\u2009=\u2009240; 100%) had documentation for resuscitation planning, 97.6% (n\u2009=\u2009235) for Care for the Dying Person, 40.0% for grief and bereavement care (n\u2009=\u200996), and 30.4% (n\u2009=\u200973) for ACP. Patients living with other adults or carers were less likely to have a documented ACP than those living alone or with dependents (OR 0.48; 95% CI 0.26-0.89). EOLC documentation was significantly greater in specialist palliative care settings than that in other hospital settings (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.001).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The process of dying is well documented among inpatients diagnosed with cancer. ACP and grief and bereavement support are not documented enough. Organizational endorsement of a clear practice framework and increased training could improve documentation of these aspects of EOLC.\n                  <\/jats:p>","DOI":"10.1177\/08258597231170836","type":"journal-article","created":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T01:57:56Z","timestamp":1682647076000},"page":"168-175","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Cancer Decedents\u2019 Hospital End-of-Life Care Documentation: A Retrospective Review of Patient Records"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3806-0020","authenticated-orcid":false,"given":"L.","family":"Russell","sequence":"first","affiliation":[{"name":"Deakin University"},{"name":"Deakin University"},{"name":"Centre for Quality and Patient Safety Research \u2013 Eastern Health Partnership, Box Hill, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Howard","sequence":"additional","affiliation":[{"name":"Centre for Quality and Patient Safety Research \u2013 Eastern Health Partnership, Box Hill, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Street","sequence":"additional","affiliation":[{"name":"Deakin University"},{"name":"Deakin University"},{"name":"Centre for Quality and Patient Safety Research \u2013 Eastern Health Partnership, Box Hill, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. E.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Palliative Aged Care Outcomes Program, Australian Health Services Research Institute, University of Wollongong, Wollongong, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Berry","sequence":"additional","affiliation":[{"name":"Deakin University"},{"name":"Deakin University"},{"name":"Centre for Quality and Patient Safety Research \u2013 Eastern Health Partnership, Box Hill, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Flemming-Judge","sequence":"additional","affiliation":[{"name":"Australian Resuscitation Council"},{"name":"Consumer Representative, Safer Care Victoria, Melbourne VIC, Australia"},{"name":"Consumer Representative, Eastern Health, Box Hill, VIC, Australia"},{"name":"Walter and Eliza Hall Institute of Medical Research"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Brean","sequence":"additional","affiliation":[{"name":"Advance Care Planning, Eastern Health, Melbourne, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"William","sequence":"additional","affiliation":[{"name":"Supportive and Palliative Care Service, Eastern Health, Melbourne, VIC, Australia"},{"name":"Monash University"},{"name":"La Trobe University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Considine","sequence":"additional","affiliation":[{"name":"Deakin University"},{"name":"Deakin University"},{"name":"Centre for Quality and Patient Safety Research \u2013 Eastern Health Partnership, Box Hill, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,4,27]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Committee on Approaching Death: Addressing Key End-of-Life Issues.Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life","author":"Institute of Medicine","year":"2015","unstructured":"Institute of Medicine. Committee on Approaching Death: Addressing Key End-of-Life Issues.Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life. Washington, DC: The National Academies Press, 2015, 0309311748."},{"key":"e_1_3_3_3_2","volume-title":"National Consensus Statement: Essential Elements for Safe and High-quality End-of-life Care","author":"Australian Commission on Safety Quality in Health Care.","unstructured":"Australian Commission on Safety Quality in Health Care. National Consensus Statement: Essential Elements for Safe and High-quality End-of-life Care. Sydney, NSW, Australia: ACSQHC, https:\/\/www.safetyandquality.gov.au\/sites\/default\/files\/migrated\/National-Consensus-Statement-Essential-Elements-forsafe-high-quality-end-of-life-care.pdf."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.18.2387"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/109662101753381593"},{"key":"e_1_3_3_6_2","volume-title":"Cancer in Australia","author":"Australian Institute of Health and Welfare","year":"2021","unstructured":"Australian Institute of Health and Welfare. Cancer in Australia. 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