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Oncology Inpatient Resuscitation Planning and Long-Term "Rapid Response Call" Outcomes
Dhanashree Tikhe1, Petition Nhira1, Megan Kepreotis1
1Calvary Mater Newcastle, Waratah, New South Wales, Australia.
Asia-Pacific Journal of Clinical Oncology
|June 8, 2026
Summary
Resuscitation plan completion in oncology is low, with most rapid response calls occurring without a plan. Many palliative care patients lack resuscitation plans, highlighting a need for improved end-of-life care documentation.
Area of Science:
- Oncology
- Palliative Care
- Healthcare Quality Improvement
Background:
- Resuscitation plans are crucial for documenting patient care wishes during acute deterioration.
- Establishing a 100% completion target for resuscitation plans in medical oncology aims to improve end-of-life care documentation.
Purpose of the Study:
- To assess resuscitation plan completion rates in medical oncology inpatients post-implementation of a 100% completion target.
- To investigate the outcomes of medical oncology inpatients experiencing a rapid response call (RRC).
Main Methods:
- A 3-month prospective audit of resuscitation plan completion for all medical oncology admissions.
- Analysis of RRC data from the preceding 6 months, including plan availability, patient characteristics, and outcomes.
Main Results:
- Only 60% of hospitalizations had a completed resuscitation form, with 56% completed within 72 hours.
- 92% of RRCs occurred without an available resuscitation plan, predominantly in palliative care patients (91%).
- 53% of patients in RRCs did not survive to discharge, and 76% received no further cancer treatment.
Conclusions:
- Resuscitation plan completion rates remain significantly below the target, necessitating targeted implementation strategies.
- Oncology patients receiving palliative care are frequently managed without resuscitation plans during RRCs, despite poor prognoses.
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