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A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning.

Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. Int J Qual Health Care. 2020;32(3). doi:10.1093/intqhc/mzaa008.

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June 3, 2020
Taylor DR, Bouttell J, Campbell JN, et al. Int J Qual Health Care. 2020;32(3).
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Used in the United Kingdom, treatment escalation/limitation plans (TELPs; similar to advanced directives and other end-of-life care plans  used in the United States) are intended to minimize harm by setting individualized treatment limits in the event of acute deterioration. This retrospective case-control study set in three UK hospitals explored whether the use of TELPs was associated with reductions in non-beneficial interventions, harms, and complaints about end-of-life care from next of kin. Over a three-year period, 59 complaints were received by the three included hospitals. The authors found patients at end-of-life whose next-of-kin submitted a complaint received poor care (higher rates of non-beneficial interventions and harms) compared to controls. The authors did not identify any difference between complaint cases who did or did not have a TELP.

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Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. Int J Qual Health Care. 2020;32(3). doi:10.1093/intqhc/mzaa008.