Assessing Signs and Symptoms: Proportion of Adult Deaths With Documented Evidence That It Was Recognised That the Person Was in the Last Days of Life
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Adults who have signs and symptoms that suggest they may be in the last days of life are monitored for further changes to help determine if they are nearing death, stabilising or recovering.
Numerator
The number in the denominator in which the care records show it was recognised that the adult was in the last days of life.
Denominator
The number of adult deaths.
Exclusions
Use of Risk Adjustment
Risk Adjustments
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Local data collection. National and trust level data on people who died in hospital for whom it was recognised that they would probably die in the coming hours or days are reported in the Royal College of Physicians' End of life care audit – Dying in hospital report for England.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Technical Specifications
Unable to locate full specifications. Some details available here: www.nice.org.uk/guidance/qs144/resources/care-of-dying-adults-in-the-last-days-of-life-pdf-75545479508677
Link to Measurement Tools
Linked to: National Institute for Health and Care Excellence (NICE) Quality Standard 144: Care of dying adults in the last days of life (www.nice.org.uk/guidance/qs144) and National Institute for Health and Care Excellence (NICE) National Guideline: Care of dying adults in the last days of life (www.nice.org.uk/guidance/ng31).