Project to improve storage, access and incorporation of advance care plans in a regional Australian hospital.
advance care planning
health care systems
health information systems
quality improvement
rural hospitals
Journal
The Australian journal of rural health
ISSN: 1440-1584
Titre abrégé: Aust J Rural Health
Pays: Australia
ID NLM: 9305903
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
accepted:
31
07
2018
pubmed:
31
1
2019
medline:
14
6
2019
entrez:
31
1
2019
Statut:
ppublish
Résumé
Despite acknowledged benefits, the impact of advance care planning on usual care is inconsistent. Quality improvement study. A Western Australian regional hospital. This project aimed to create a system for storing, accessing and incorporating advance care planning documents in clinical care. Interventions over 18 months addressed four areas: medical records processes for receiving and processing advance care planning documents; information technology solutions for electronic storage and alerts; clerical staff duties in regards advance care planning documents; and clinician education. There was a 12-fold increase in advance care planning documents stored electronically and 100% of audited notes had correct filing of advance care planning documents with an alert in place at follow-up audit. Clinician recognition of the presence of an advance care planning document improved. Detailed examples of interventions are described. Repeated exposure to different forms of advance care planning education, in conjunction with simple but effective system changes can make a difference in changing established hospital practice. Final impact of these changes on end-of-life care requires further audit.
Types de publication
Journal Article
Langues
eng
Pagination
104-110Subventions
Organisme : Health Department of Western Australia
Informations de copyright
© 2019 National Rural Health Alliance Ltd.