Evaluation of adherence to national regulations for documentation of limitations of life-sustaining treatments after a limited intervention at a Swedish hospital

Eva Piscator, Charlotte Ekestam, Lena Bremer, Umut Heilborn · 2026

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Description

Eva Piscator and three co-authors report how a Swedish hospital improved its paperwork for decisions to limit life-sustaining treatment, in this 2026 study. Such decisions, for example not to restart the heart or use a ventilator, must be documented in set ways under national rules. At the Stockholm hospital studied, records often missed required elements, which can leave later care teams unsure what was decided and why.

In June 2023 the hospital made three changes: a revised digital form, brief teaching for doctors, and an updated internal protocol. The team then compared one hundred randomly chosen records from before the change with ninety-eight from after. Full compliance with the rules leapt from one in a hundred records to sixty-three in a hundred. The reasons behind decisions were well recorded both before and after. The study shows a light-touch package can fix a quiet but serious documentation gap.

Catalog record

CREATOREva Piscator, Charlotte Ekestam, Lena Bremer, Umut Heilborn
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE32 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13635549

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