There is growing recognition that electronic medical record triggers in the intensive care unit (ICU) have led to an increase in palliative care consultations. One suburban health care system adopted triggers unique to their culture and setting in a pilot study and saw an increase in palliative consultations in the ICU. Implementing triggers is often a complex and multifaceted process to adopt. This review shares the steps from concept to implementation of establishing palliative prompts in 1 ICU within an integrated health care system.
Brian W. Jones, DHSc, CHPCA, is director of Hospice and Palliative Care, St Elizabeth Healthcare, Edgewood, Kentucky. Dr Jones received his doctor of health sciences degree from A.T. Still University in Mesa, Arizona. He is a Certified Hospice and Palliative Care Administrator.
Charles Bernstein, MD, is palliative medical director, St Elizabeth Healthcare, Edgewood, Kentucky. Dr Bernstein received his medical degree from the Medical College of Ohio in Toledo. He is board certified in Internal Medicine and in Hospice and Palliative Medicine.
The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.
Address correspondence and reprint requests to: Brian W. Jones, DHSc, CHPCA, St Elizabeth Healthcare, 1 Medical Village Dr, Edgewood, KY 41017 (Brian.Jones@stelizabeth.com).