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The PoET (Prevention of Error-Based Transfers) Project
1community ethicist at the William Osler Health System in Brampton, ON, and lead of the PoET project. She can be reached by e-mail at jill.oliver@williamoslerhs.ca.
Healthcare Quarterly (Toronto, Ont.)
|May 28, 2017
Summary
The PoET Project reduced hospital transfers from long-term care caused by legal and ethical errors. This initiative achieved a 56% decrease in multiple transfers before death.
Area of Science:
- Healthcare quality improvement
- Medical ethics
- Long-term care medicine
Background:
- Transfers from long-term care (LTC) to hospitals can stem from legal and ethical issues.
- Errors in consent, capacity, and substitute decision-making contribute to preventable transfers.
- The Ethics Quality Improvement Projects (EQIPs) aim to address systemic issues in healthcare.
Purpose of the Study:
- To implement and evaluate the PoET (Prevention of Error-based Transfers) Project.
- To reduce hospital transfers originating from LTC facilities due to legal and ethical errors.
- To improve patient care and resource allocation within the healthcare system.
Main Methods:
- The PoET Project was implemented across eight long-term care homes.
- Focus on improving practices related to consent, capacity, and substitute decision-making.
- Quality improvement methodologies were employed to track and reduce transfers.
Main Results:
- A significant 56% reduction in multiple transfers from LTC to hospital before death was observed.
- The project demonstrated success in mitigating transfers caused by ethical and legal errors.
- Positive impact on patient care continuity and reduced healthcare system burden.
Conclusions:
- The PoET Project effectively reduces preventable hospital transfers from long-term care.
- Addressing legal and ethical errors in decision-making improves patient outcomes.
- Quality improvement initiatives are vital for enhancing LTC and hospital care integration.
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