Organising Home-based Palliative Care Services: A Quality Improvement project at the Homi Bhabha Cancer Hospital and Research Centre, Vishakhapatnam.
Objectives: The key component of a comprehensive palliative care (PC) unit is provision of a regular and sustainable home-based PC (HBPC) service. This quality improvement project aimed to plan, organise and sustain a regular HBPC service in a government cancer centre in Southeast India. The aim was...
| Publicado en: | Indian Journal of Palliative Care Vol. 27; no. 2; pp. 197 - 204 |
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| Autores principales: | , , , , , , , , , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Scientific Scholar LLC
Apr-Jun2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153461023&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153461023 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09731075 166I jtl: Indian Journal of Palliative Care issn: 09731075 maglogo: N pubinfo: dt: Apr-Jun2021 vid: 27 iid: 2 pid: 56013 pub: Scientific Scholar LLC place: Pittsford, New York artinfo: ui: 153461023 153461023 153461023 10.25259/IJPC_370_20 153461023 ppf: 197 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Organising Home-based Palliative Care Services: A Quality Improvement project at the Homi Bhabha Cancer Hospital and Research Centre, Vishakhapatnam. aug: au: Viswanath, Vidya Digumarti, Leela Raju, Nadimpalli Satyanarayana Venkata Lokanandi, Usha Rani Dasu, Mohana Rao Venkata Bolem, Satya Kumari Katta, Naresh Vemula, Srinivasa Rao Sharma, Vaduguru Venkata Lakshmi Narasimha Digumarti, Raghunadharao affil: Department of Palliative Medicine, Homi Bhabha Cancer Hospital and Research Centre, Visakhapatnam, Andhra Pradesh, India sug: subj: Palliative Care Home Health Care Quality Improvement Cancer Care Facilities India India Home Visits Resource Allocation ab: Objectives: The key component of a comprehensive palliative care (PC) unit is provision of a regular and sustainable home-based PC (HBPC) service. This quality improvement project aimed to plan, organise and sustain a regular HBPC service in a government cancer centre in Southeast India. The aim was to regularise and increase the number of home care visits among the patients identified for HBPC services through sustainable interventions. Materials and Methods: The A3 methodology with its team-based, structured problem-solving approach was the tool used. The situational process map at baseline was followed up with a sequential cause and effect analysis and team discussions to create sustainable and reliable interventions. These included creating the electronic data system for data collection in PC, allocation of resources and implementation of systems to coordinate HBPC services. The roles and ownership to maintain improvement were established by designation and this requirement has been included in the job description to ensure reliability and sustainability. Results: The regularisation of home care services with a consistent increase in the number of home visits from 2/week to over 6/week helped achieve the Specific, Measurable, Achievable, Relevant and Time bound goal. Better documentation, coordination and accountability were also positive outcomes. Working with different departments and teams along the project helped build trust and understanding along with a sound base for collaborative research. Conclusion: The A3 way of problem solving through dialogue and consensus helped to organise HBPC services and this methodology can be extended to other areas in future. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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