Promoting Excellence : Family Member Interview After Death Instrument for Simultaneous Case Study

Name:
University of California - Davis: Family Member Interview After Death Instrument for Simultaneous Case Study

Description:
A three-page, post-death, phone questionnaire for caregivers regarding the patient's health and medical care during illness.

Category:
Evaluation Tool - Satisfaction/Perception of Care

Source:
UC Davis Medical Center
2315 Stockton Blvd.
Sacramento CA 95817
916.734.2011
www.ucdmc.ucdavis.edu

Contact:
Joan Blais MPA
Program Administrator
University of California, Davis
West Coast Center for Palliative Education
3630 Business Drive
Sacramento, CA 95820-2100
[email protected]

How the grantee used this instrument:
Used by the care team to assess the experience of the patient and/or family with respect to end-of-life care.

Keywords:
quality assurance, satisfaction, post death survey, caregiver survey, family perception of care, satisfaction survey

To use this tool:
You may print and copy this tool for your own use from this site. We recommend that you consult the references before using this tool. Please credit source.

References:
Modified from the Toolkit of Instruments to Measure End-of-Life
http://www.chcr.brown.edu/pcoc/toolkit.htm

To view this tool:
Left click on the download link to view the PDF document in your Web browser. Right-click on the download link to save the document to your computer.
pdf PDF 36 KB / 3 pages (Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)

Posted September 2004

UC Davis Medical Center overview page


# UCD2, type:satisfaction/perception_care


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. Visit PromotingExcellence.org for more resources.

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