Request end-of-life care audit tools | Australian Commission on Safety and Quality in Health Care

Required fields are marked with an asterisk (*).

Organisation

Name

Email address

Survey Monkey Pro Plan account user name

Requested End-of-Life Survey Tool

End-of-Life Care Audit Core Question Set

End-of-Life Care Audit Extended Question Set (e.g. resuscitation plan audit)

Clinician Survey

Terms and conditions *

The Commission will make available the End-of-Life Audit tools on a case by case basis under the following conditions:

The use of the Audit tools must be in relation to the use of the National Consensus Statement: Essential elements for safe and high-quality End-of-Life Care.
The role of the Commission in developing the Audit tools should be acknowledged.

I agree to the terms and conditions for use of the End-of-Life Care Audit toolkit