Background: The guideline-recommended elements to include in discussions about goals of
care with patients with serious illness are mostly based on expert opinion. We sought to …

Importance Seriously ill hospitalized patients have identified communication and decision
making about goals of care as high priorities for quality improvement in end-of-life care …

Methods We conducted a narrative review of evidence about advance care planning and
end-of-life communication practices to provide clinicians with practical, evidence-based …

An understanding of patients' care goals in the context of a serious illness is an essential
element of high-quality care, allowing clinicians to align the care provided with what is most …

Background Communication gaps impact the quality of patient care. Previous research has
focused on communication barriers rather than seeking solutions. Our aim was to identify …

Context Goals-of-care discussions are associated with improved end-of-life care for patients
and therefore may be used as a process measure in quality improvement, research, and …

Background Although shared decision making (SDM) is the preferred model of making
complex treatment decisions with patients, patients' and doctors' attitudes towards SDM for …

• Clinicians can use the “surprise” question or more detailed clinical criteria to identify high-
risk patients who need to determine their goals of care.• When discussing goals of care with …

During the last 6 months of life, 75% of older adults with preexisting serious illness, such as
advanced heart failure, lung disease, and cancer, visit the emergency department (ED). ED …

ContextEffectiveness of legislation promoting advance directives and legalizing physician-
assisted suicide depends on patients' understanding their legal options about end-of-life …