A Patient-Inspired Quality Improvement Initiative for Pituitary Adenoma Care.

Autor:	Druce I; Department of Medicine, Division of Endocrinology and Metabolism, University of OttawaOttawa, ON, Canada., Doyle MA; Department of Medicine, Division of Endocrinology and Metabolism, University of OttawaOttawa, ON, Canada., Arnaout A; Department of Medicine, Division of Endocrinology and Metabolism, University of OttawaOttawa, ON, Canada., Liu D; Department of Medicine, Division of Endocrinology and Metabolism, University of OttawaOttawa, ON, Canada., AlKherayf F; Department of Surgery, Division of Neurosurgery, University of Ottawa, Ottawa, ON, Canada.; Ottawa Hospital Research InstituteOttawa, ON, Canada., Agbi C; Department of Surgery, Division of Neurosurgery, University of Ottawa, Ottawa, ON, Canada., Keely E; Department of Medicine, Division of Endocrinology and Metabolism, University of OttawaOttawa, ON, Canada., Malcolm J; Department of Medicine, Division of Endocrinology and Metabolism, University of OttawaOttawa, ON, Canada.
Jazyk:	angličtina
Zdroj:	The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques [Can J Neurol Sci] 2021 Jul; Vol. 48 (4), pp. 540-546. Date of Electronic Publication: 2020 Oct 01.
DOI:	10.1017/cjn.2020.215
Abstrakt:	Background: Pituitary adenomas (PAs) are common and often require complex multidisciplinary care with multiple specialists. This may result in a healthcare system that is challenging for patients to navigate. Audits of care at our institution revealed opportunities for improvement to better align care with patients' needs. Methods: A quality improvement initiative that incorporated a patient advisory committee of patients who had received treatment for PA at our center and their family members were used to help identify opportunities for improvement. The patient-identified gaps in care included the need to coordinate and minimize appointments and the desire for better communication and education. Based on this information, changes were implemented to the pituitary program, including increasing access to the Multidisciplinary Clinic and developing a standardized and centralized triage process. Results: A pre- and post-intervention analysis consisting of retrospective chart reviews revealed that these changes had an impact on wait times for first assessment, and a significant shift in the location of this first visit - with a larger proportion of patients being seen in the Multidisciplinary Clinic after an intervention. Conclusions: We demonstrate that patient involvement, beyond individual patient-physician interactions, can lead to meaningful and observable changes, and can improve the quality of care for PA.
Databáze:	MEDLINE
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