7.4.1
Policies and proceduresEnd of Life Care, DNR and Spiritual Support
Care of dying patients addresses physical, emotional and spiritual needs with documented Do Not Resuscitate (DNR) protocols following ethical and clinical guidelines.
Compliance Criteria
- 1Clinical policy on palliative care, advance care planning and DNR documentation
- 2Multi-faith prayer rooms (Surau) and spiritual counselling access for diverse communities
- 3Bereavement support and quiet grieving rooms for families in acute units
- 4Ethical consultation committee mechanism for complex end-of-life decisions
Hospital Self-Rating
Rated by Dr. Azmi Razak on 23 Jan 2026Evidence frozen on 30 March 2026 (14 days before survey)
"End-of-life care guidelines and Do Not Resuscitate (DNR) ethical documentation are implemented with compassionate family support."
unsupported
No evidence documents attached to substantiate this self-assessment claim.
Unverified criteria:
- Clinical policy on palliative care, advance care planning and DNR documentation
- Multi-faith prayer rooms (Surau) and spiritual counselling access for diverse communities
- Bereavement support and quiet grieving rooms for families in acute units
- Ethical consultation committee mechanism for complex end-of-life decisions
Derived from AccrediSense Evidence Engine · 0 documents attached against 4 compliance criteriaGovernance disclosure (1.4.1.4)
Evidence Documents (0)
A criterion with no document reads as unevidenced to the survey team.
Attach relevant hospital policies, registers, audit reports, or training records.
AR
Person-in-ChargeHead of Clinical Services & Consultant Physician
Head of DepartmentDirector of Nursing
NH
Surveyor Authority Pane