Table 1

Care and Communication Bundle

ICU day 1*
 Patient/family-centred decision-makingDetermination of medical decision-maker
 Patient/family-centred decision-makingAdvance directive status
 Patient/family-centred decision-makingCode status
 Communication and health literacyFamily information leaflet
 Symptom managementPain assessment and management
ICU day 3
 Emotional and social support for patient/familiesSocial work support offered to patient/family
 Spiritual support of patient/familiesSpiritual/chaplain support offered to patient/family
ICU day 5
 CommunicationInterdisciplinary family meeting
  • This table shows quality measures of the Care and Communication Bundle, which are triggered based on ICU days 1, 3 and 5. These quality measures were developed based on the domains identified by the Critical Care Peer Workgroup, which identified quality indicators for end-of-life care in the ICU.22

  • *The day of ICU admission is considered day 0 and the following calendar day is day 1.

  • ICU, intensive care unit.