Quality of Dying and Death Questionnaire for Family Members - Version 3.2A - University of Washington Schools of Medicine and Nursing

Name:
University of Washington/Harborview Medical Center - Integrating Palliative and Critical Care Program: Quality of Dying and Death Questionnaire for Family Members - Version 3.2A

Description:
An extensive questionnaire for families relating to experiences they and their loved one may have had while receiving palliative care in the Intensive Care Unit.

Category:
Evaluation Tools - Satisfaction/Perception of Care

Source:
University of Washington
Harborview Medical Center
325 9th Ave., Box 359762
Seattle WA 98104
206.731.3356

Contact:
J. Randall Curtis, M.D., M.P.H.
ptreece@uwashington.edu

How the grantee used this instrument:
This questionnaire is for family members who were present during the last few days of a loved one's life. Responses were used by the grantee to evaluate the palliative care program in the Intensive Care Unit.

Keywords:
death, dying, family members, after-death interview, post death interview, quality improvement, family experience, family perception of care, family satisfaction, patient experience, satisfaction survey

To use this tool:
Please credit the source in any publications using this tool. For further information on scoring and analyses and for published references, please see the "Instruments" and "Publications" pages at http://depts.washington.edu/eolcare.

References:
Developed specifically for this project by the project team.

To view this tool:

Quality of Dying and Death Questionnaire for Family Members - Version 3.2A
(Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)

Posted: July 2006

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Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families.

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