A framework to support quality of care for patients with chronic intestinal failure requiring home parenteral nutrition
| Autor: | Emma Osland, Kathleen H McGrath, Varsha M. Asrani, Katerina Angstmann, Azmat Ali, Julie E Bines, Lynn Jones, Suzie Daniells, Peter De Cruz, Sharon Carey, Caitlin Watson |
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| Rok vydání: | 2019 |
| Předmět: |
Quality management
Standardization Service delivery framework media_common.quotation_subject 03 medical and health sciences 0302 clinical medicine Nursing Multidisciplinary approach Humans Medicine Quality (business) Quality of Health Care computer.programming_language media_common Patient Care Team Evidence-Based Medicine Hepatology business.industry Australia Gastroenterology Evidence-based medicine Quality Improvement Intestinal Diseases Parenteral nutrition 030220 oncology & carcinogenesis Chronic Disease Parenteral Nutrition Home Total Interdisciplinary Communication 030211 gastroenterology & hepatology business computer Delphi |
| Zdroj: | Journal of Gastroenterology and Hepatology. 35:567-576 |
| ISSN: | 1440-1746 0815-9319 |
| Popis: | Background and aim Chronic intestinal failure requiring home parenteral nutrition (HPN) is a disabling condition that is best facilitated by a multidisciplinary approach to care. Variation in care has been identified as a key barrier to achieving quality of care for patients on HPN and requires appropriate strategies to help standardize management. Method The Australasian Society for Parenteral and Enteral Nutrition (AuSPEN) assembled a multidisciplinary working group of 15 clinicians to develop a quality framework to assist with the standardization of HPN care in Australia. Obstacles to quality care specific to Australia were identified by consensus. Drafts of the framework documents were based on the available literature and refined by two Delphi rounds with the clinician work group, followed by a further two involving HPN consumers. The Oxford Centre for Evidence-Based Medicine Levels of Evidence was used to assess the strength of evidence underpinning each concept within the framework documents. Results Quality indicators, standards of care, and position statements have been developed to progress the delivery of quality care to HPN patients. Conclusion The quality framework proposed by AuSPEN is intended to provide a practical structure for clinical and organizational aspects of HPN service delivery to reduce variation in care and improve quality of care and represents the initial step towards development of a national model of care for HPN patients in Australia. While developed for implementation in Australia, the evidence-based framework also has relevance to the international HPN community. |
| Databáze: | OpenAIRE |
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