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Updated: Feb 16, 2026

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Clinical Excellence in Palliative Care: Examples From the Published Literature
David Shih Wu1, Scott M Wright2
11 Palliative Care Program, Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Background:
With the expansion of palliative care, the concept of clinical excellence is worthy of study and has not been described well in the literature.
Objective:
To apply the domains of clinical excellence, as proposed and published by the Miller Coulson Academy of Clinical Excellence, to the field of palliative care.
Design:
Review of the literature to identify episodes of superb palliative care delivered by individuals and teams.
Measurement And Main Results:
In reviewing 821 publications, we found multiple palliative care case reports to serve as exemplars for each of the distinct domains of clinical excellence.
Conclusions:
The domains of excellence are relevant and applicable to the field of palliative care. This article aims to inspire clinicians-and advance the field-by promoting thoughtful reflection on what clinical excellence in palliative care entails.
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