Table 1 Quality indicators frame

Structure and process

Aspects of advance care planning

• % patients for whom information is documented on aspects relating to advance care planning and impending death:

1. Live expectancy was documented;

2. Preferred place of death was documented;

3. Preference on resuscitation, ventilation and treatment (restrictions) were documented

Physical, psychological, social and spiritual dimensions

Symptom burden

• % patients for whom a standardised pain measurement was documented and also the outcome (symptom burden);

• % patients for whom a standardised shortness of breath measurement was documented and also the outcome (symptom burden);

• % patients for whom a standardised anxiety measurement was documented and also the outcome (symptom burden);

• % patients for whom a standardised depressive symptoms/sombre mood measurement was documented and also the outcome (symptom burden);

• % patients for whom was documented whether a spiritual counsellor was wished for and involved.

• % patients for whom was documented whether a psychologist or social worker was wished for and involved.