Report characteristics | Description |
Author(s) | Profession and/or specialisation |
Year of publication | |
Origin of report | Jurisdiction of report (eg, country, state) |
Report type | Technical report, practice survey, clinical practice guideline, observational study, clinical trial, other (describe) |
Report purpose | Stated or inferred |
Report audience | Stated or inferred |
Report citation | Primary documents on which the report is based (if relevant) |
MAID provision: medications | Description |
Pharmaceutical used | Each pharmaceutical name, dose, route, frequency, speed of administration, stated or inferred purpose of each medication (eg, anxiolytic, sedation, pain control, antiemetic, paralytic) and frequency of use (optional vs obligatory); alternative medications in case of allergy |
Other equipment used | If relevant |
Safety checks and documentation | eg, use of a checklist; confirmation of consent; backup medications available and so on |
MAID provision: location | Description |
Location of provision | Home, hospital, hospice, other, nursing home’s psychiatric institutions provider’s profession or specialisation, self administration or euthanasia? |
MAID provision: participants | Description |
Role of healthcare provider(s) | Profession, training/expertise, role in assisted dying |
Role of families | Training/preparation; follow-up care; bereavement care |
Safety checks and documentation | eg, use of a checklist; confirmation of consent; backup medications available, and so on |
Aftercare | Healthcare providers/families/others |
Outcomes | Description |
Complications—technical | eg, intravenous malfunction, need to use a second kit; vomiting; allergic reaction |
Complications— patient/family distress | eg, patient pain; family agitation/anger during provision |
Complications—provider distress | eg, anxiety during provision |
Scores or measurements to assess quality of care or quality of dying | eg, Quality of Dying and Death Score, reporting checklist |
MAID, medical assistance in dying.