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Words Matter.

Rachael Spalding1, Elissa Kozlov1, Brian D Carpenter1

  • 11 Washington University in St. Louis, MO, USA.

International Journal of Aging & Human Development
|May 4, 2017
PubMed
Summary
This summary is machine-generated.

Palliative care consultation teams (PCCTs) recommendations are less likely to be implemented if they use conditional language. Improving phrasing in electronic health records can enhance PCCT effectiveness for patients with life-limiting illnesses.

Keywords:
decision makingdictione-communicationgeriatric carelong-term carepalliative carework situations

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Area of Science:

  • Medical Informatics
  • Palliative Care
  • Health Communication

Background:

  • Palliative care consultation teams (PCCTs) support patients with life-limiting diseases.
  • Effective communication of PCCT recommendations is crucial for patient care.
  • Electronic health records (EHRs) are primary communication tools for healthcare providers.

Purpose of the Study:

  • To investigate if the language used in PCCT recommendations within EHRs affects their implementation.
  • To identify specific linguistic features that may hinder or promote recommendation uptake.

Main Methods:

  • Review of 288 PCCT recommendations from 111 patients at a Veterans Affairs hospital.
  • Analysis of recommendations for linguistic features, including conditional and tentative phrasing.
  • Tracking of subsequent patient treatment in medical records to determine implementation rates.

Main Results:

  • Only 57% of PCCT recommendations were implemented.
  • Recommendations containing conditional words (e.g., 'could') or tentative phrasing (e.g., 'consider') were significantly less likely to be implemented.
  • Specific words like 'could' and 'consider' were associated with lower implementation rates.

Conclusions:

  • The phrasing of PCCT recommendations in EHRs significantly impacts their implementation.
  • PCCTs should refine their language to improve the uptake of recommendations.
  • Attention to pragmatic elements in electronic communication is vital for enhancing palliative care effectiveness.