用审计来改善三级癌症中心的终身护理
Conor D Moloney1, Hailey K Carroll1, Elaine Cunningham2
1Cork University Hospital, Wilton, T12 DC4A Cork, Ireland.
Current oncology (Toronto, Ont.)
|August 27, 2025
概括
实施有针对性的干预措施显著改善了癌症患者的终身护理 (EoLC) 质量. 重新审计表明患者护理持续改善,生命终端护理不良情况减少.
科学领域:
- 癌症学
- 缓和护理
- 改善医疗保健的质量
背景情况:
- 高质量的终身护理 (EoLC) 在瘤学中至关重要,但经常被忽视.
- 2021年的一项审计发现,在COVID-19大流行期间,癌症患者的EoLC缺陷显著.
研究的目的:
- 评估干预措施对第三级癌症中心的EoLC质量的影响.
- 通过实践表,检查清单,教育和扩大委员会来评估改进情况.
主要方法:
- 在2022年7月至2023年4月期间死亡的72名患者的回顾性再审计.
- 使用牛津质量指标评估EoLC质量.
主要成果:
- 与初次审计相比,EoLC质量显著提高 (p=0.021).
- 更多的患者愿望文件 (48.8% vs 24.2%) 和牧师护理转介 (68.3% vs 10.6%).
- 低EoLC从21.2%降至8.3%.
结论:
- 简单的干预,重新审计和跨学科的承诺有效地增强了EoLC.
- 通过结构化的质量倡议,可以持续改善终身护理质量.
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