Dying in hospital - Optimization of care in the dying phase

German Version

Project management: Prof. Dr. R. Voltz, Dr. Kerstin Kremeike
Contact: Dr. Kerstin Kremeike
Duration: 08/2020 - 08/2023
Funding: Innovation fund, Federal Joint Committee (G-BA)

Project Description

Hospitals are the most frequent place of death in Germany (47%), but at the same time, the least preferred one – for both patients and their relatives. Important indicators and outcome variables indexing quality of the dying phase and care for the dying are already consented. Moreover, there are already various proposals to achieve these quality objectives. However, they are still not sufficiently adapted to the heterogeneous needs and structures of individual hospital wards. Therefore, the planned three-phase project aims at the implementation and evaluation of situation-specific measures in everyday clinical practice.

Existing experience regarding optimum care of dying will be identified within the framework of an expert symposium and recorded within a portfolio of measures. Based on this, ten teams of different wards from two university hospitals select suitable measures and apply them in their daily clinical practice. The dying situation on the respective wards is recorded both at a baseline survey before application of the selected measures and afterwards in a follow-up survey. Retrospective file analysis of deceased persons, quantitative employee surveys, multi-professional focus groups and interviews with relatives form the data basis for his. Results are also to be checked for their transferability to other hospitals.

Dr. rer. medic. Kerstin Kremeike

Dr. rer. medic. Kerstin Kremeike

Research Associate

Dealing with Desire to Die in Palliative Care, Dying in hospital - Optimization of care in the dying phase (StiK-OV), Implementation and Evaluation of an Online Platform for Research Data in the Rhineland Region regarding Health Services Research in the Last Year of Life (CoRe-WEB)

Publikationen (PubMed)

+49 221 478-87835
Zur Person
Akademischer und beruflicher Werdegang
Since 2021 Research associate, Department of Palliative Medicine, University Hospital Cologne
2017-2021 Research associate, Department of Palliative Medicine, University Hospital Munich
2015-2017 Master of Public Health, LMU Munich
2016-2017 Internship, Department of Occupational, Social and Environmental Medicine, LMU Munich
2015-2017 Research assistant, HelmholtzZentrum Munich – Institute of Epidemiology
2012-2015 Bachelor of Education Health and Nursing Science, TU Munich


Sedation at the end of life, general palliative care, healthcare research


German association for palliative care (DGP)

Abgeschlossene Projekte

SedoL: Sedation at the end of life outside specialist palliative care - An exploratory mixed methods study

SedPall: From anxiolysis to deep continuous sedation – Development of recommendations for sedation in specialist palliative care

PallPan: Palliative care in Pandemics

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