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The American journal of medicine
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Goals of care (GOC) documentation for seriously ill patients is integral to patient-centered care but not standardized. Collaborative efforts within the health system to improve the frequency and documentation of GOC to communicate patient preferences and values are essential to ensure both quality of life and quality of death. ⋯ We successfully implemented a standard electronic medical record location for GOC notes which improved GOC documentation across a state healthcare system and found variations and gaps in fields addressed by all clinicians as well as key differences between PC clinicians vs other clinicians.