Reforming care for persons near the end of life: the promise of quality improvement
| Autor: | Casey Milne, Joanne Lynn, Kevin M. Nolan, Donald M. Berwick, David Weissman, Andrea Kabcenell |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Quality management
Palliative care Process management Quality Assurance Health Care media_common.quotation_subject Context (language use) Nursing Health care Internal Medicine Medicine Homes for the Aged Humans Quality (business) media_common Aged Aged 80 and over Patient Care Team Terminal Care business.industry General Medicine United States Nursing Homes Health Care Reform Female Health care reform business Advance Directives Emergency Service Hospital End-of-life care PDCA |
| Zdroj: | Annals of internal medicine. 137(2) |
| ISSN: | 1539-3704 |
| Popis: | Most people in developed countries will live with a serious, eventually fatal, chronic condition for months or years before dying; yet, the delivery of health care services has only just recently begun adapting to this reality. Quality improvement methods have been effective in helping clinical services to make substantial changes quickly. Quality improvement requires stating an aim, measuring success, and testing possible improvements. The testing of changes requires a clinical team to Plan, Do, Study, and Act on new insights (the "PDSA cycle"). Repeated PDSA cycles generate deep understanding of complex systems and make sustainable improvements rapidly. This paper discusses a composite case study in a nursing home setting, which builds on experience with multisite collaborative efforts and introduces quality improvement methods in the context of end-of-life care. |
| Databáze: | OpenAIRE |
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