End-of-life care in hospital: current practice and potentials for improvement.

From July until September 2004, all deaths were registered prospectively in all departments of Freiburg University Hospital, Germany, a large teaching hospital with approximately 55,000 inpatient admissions per year. A retrospective chart review was done for all patients who died during this time period using a tool validated in two American and Australian projects. Main outcome measures were patients' identification as dying by medical staff, Do-Not-Resuscitate (DNR) orders, and the presence of comfort care plans.