Merging Palliative and Critical Care Cultures in the Medical Intensive Care Unit

Principal Investigators

J. Andrew Billings, MD, Former Director, MGH Palliative Care Service; Associate Professor of Medicine; Co-Director, Harvard Medical School Center for Palliative Care
Adele Keeley, BSN, MA, RN, Nurse Manager, MGH Medical Intensive Care Unit

Co-Investigators and Study Staff

Joel Bauman, MD
Alexandra Cist, MD
Edward Coakley, RN
Constance Dahlin, MSN, ANP
Paul Montgomery, Ph.D.
Taylor Thompson, MD
Marilyn Wise, MSW, LICSW



Specific Aims of the Project

This is a quality improvement demonstration project whose aims are to: 1) improve and standardize physical and psychosocial/spiritual care approaches to the alleviation of suffering for all patients in the Medical Intensive Care Unit (MICU) and their families; 2) strengthen staff education and support programs to assure that every trainee and practitioner in the MICU is exposed to state-of-the-art palliative care; and 3) generate, publish, and otherwise disseminate useful evaluation data about transferable improvements, thus allowing us to serve as a model for other ICUs. The study design is a pre-post intervention Quality Demonstration Project.

Our hypothesis is that a set of clinical and educational interventions will promote the integration of patient-and-family-centered palliative care practice into the medical intensive care unit (MICU).

Presentation to the AAHPM in February, 2006.

Documents developed during the Study

For more information, please call 617-724-9197.

MGH Palliative Care Service, 55 Fruit Street, Founders 600, Boston, MA 02114
Telephone: (617) 724-9197 Fax: (617) 724-8693

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