Matches in SemOpenAlex for { <https://semopenalex.org/work/W3136285883> ?p ?o ?g. }
Showing items 1 to 79 of
79
with 100 items per page.
- W3136285883 endingPage "i42" @default.
- W3136285883 startingPage "i12" @default.
- W3136285883 abstract "Abstract Introduction Quality person-centred care in those approaching the end of life includes consideration and anticipation of their preferred place of death and ceiling of care (CoC). This QI project to reduce inappropriate readmissions was prompted following the transfer of a palliative patient to the acute trust from a community hospital. Method Data was collected from the electronic patient record (EPR) at weekly intervals over a six month period, July to December. Electronic documentation of CoC from 507 records from a 24 bed community hospital was reviewed. Data collected included patient age, sex and whether a CoC decision entry had been made on the EPR during the community hospital inpatient stay. The appropriateness of readmissions over the same period was also analy sed. A weekly consultant geriatrician ward round was introduced focusing on advanced care planning with explicit decision making regarding preferred place of care. Results There were a total of 16 readmissions during the study period. 3 of these were deemed “inappropriate” following EPR review occurring in August, September and October. Subsequent review of electronic CoC July to October inclusive demonstrated a median completion rate of 20.5%. Following intervention there were no further inappropriate readmissions and the median CoC completion rate was 85%. Qualitatively, the consultant geriatrician managing the community hospital felt there had been a cultural shift where staff felt more comfortable managing complex palliative care. Conclusions Introduction of a weekly Consultant Geriatrician ward round in the community setting has led to a sustained improvement in CoC decision-making and documentation. As a result of this there have been no further inappropriate readmissions to the acute trust. This reflects the national guidance in patient centred palliative care. Further work including robust, qualitative assessment of staff attitude towards palliative care is needed to emulate this work at other local community hospitals." @default.
- W3136285883 created "2021-03-29" @default.
- W3136285883 creator A5006552856 @default.
- W3136285883 creator A5030771101 @default.
- W3136285883 creator A5057474452 @default.
- W3136285883 creator A5072249729 @default.
- W3136285883 date "2021-03-01" @default.
- W3136285883 modified "2023-09-26" @default.
- W3136285883 title "86 Reducing Inappropriate Readmissions From A Community Hospital—A Quality Improvement Project" @default.
- W3136285883 doi "https://doi.org/10.1093/ageing/afab030.47" @default.
- W3136285883 hasPublicationYear "2021" @default.
- W3136285883 type Work @default.
- W3136285883 sameAs 3136285883 @default.
- W3136285883 citedByCount "0" @default.
- W3136285883 crossrefType "journal-article" @default.
- W3136285883 hasAuthorship W3136285883A5006552856 @default.
- W3136285883 hasAuthorship W3136285883A5030771101 @default.
- W3136285883 hasAuthorship W3136285883A5057474452 @default.
- W3136285883 hasAuthorship W3136285883A5072249729 @default.
- W3136285883 hasBestOaLocation W31362858831 @default.
- W3136285883 hasConcept C159110408 @default.
- W3136285883 hasConcept C160735492 @default.
- W3136285883 hasConcept C162324750 @default.
- W3136285883 hasConcept C187736073 @default.
- W3136285883 hasConcept C194828623 @default.
- W3136285883 hasConcept C198783460 @default.
- W3136285883 hasConcept C199360897 @default.
- W3136285883 hasConcept C2777995714 @default.
- W3136285883 hasConcept C2779861157 @default.
- W3136285883 hasConcept C2780665704 @default.
- W3136285883 hasConcept C2781385661 @default.
- W3136285883 hasConcept C2994186709 @default.
- W3136285883 hasConcept C41008148 @default.
- W3136285883 hasConcept C50522688 @default.
- W3136285883 hasConcept C512399662 @default.
- W3136285883 hasConcept C545542383 @default.
- W3136285883 hasConcept C56666940 @default.
- W3136285883 hasConcept C71405471 @default.
- W3136285883 hasConcept C71924100 @default.
- W3136285883 hasConceptScore W3136285883C159110408 @default.
- W3136285883 hasConceptScore W3136285883C160735492 @default.
- W3136285883 hasConceptScore W3136285883C162324750 @default.
- W3136285883 hasConceptScore W3136285883C187736073 @default.
- W3136285883 hasConceptScore W3136285883C194828623 @default.
- W3136285883 hasConceptScore W3136285883C198783460 @default.
- W3136285883 hasConceptScore W3136285883C199360897 @default.
- W3136285883 hasConceptScore W3136285883C2777995714 @default.
- W3136285883 hasConceptScore W3136285883C2779861157 @default.
- W3136285883 hasConceptScore W3136285883C2780665704 @default.
- W3136285883 hasConceptScore W3136285883C2781385661 @default.
- W3136285883 hasConceptScore W3136285883C2994186709 @default.
- W3136285883 hasConceptScore W3136285883C41008148 @default.
- W3136285883 hasConceptScore W3136285883C50522688 @default.
- W3136285883 hasConceptScore W3136285883C512399662 @default.
- W3136285883 hasConceptScore W3136285883C545542383 @default.
- W3136285883 hasConceptScore W3136285883C56666940 @default.
- W3136285883 hasConceptScore W3136285883C71405471 @default.
- W3136285883 hasConceptScore W3136285883C71924100 @default.
- W3136285883 hasIssue "Supplement_1" @default.
- W3136285883 hasLocation W31362858831 @default.
- W3136285883 hasOpenAccess W3136285883 @default.
- W3136285883 hasPrimaryLocation W31362858831 @default.
- W3136285883 hasRelatedWork W1657884533 @default.
- W3136285883 hasRelatedWork W2013249382 @default.
- W3136285883 hasRelatedWork W2034818201 @default.
- W3136285883 hasRelatedWork W2612491573 @default.
- W3136285883 hasRelatedWork W2806513606 @default.
- W3136285883 hasRelatedWork W2888243076 @default.
- W3136285883 hasRelatedWork W2959658104 @default.
- W3136285883 hasRelatedWork W3021816323 @default.
- W3136285883 hasRelatedWork W3120945499 @default.
- W3136285883 hasRelatedWork W4366548556 @default.
- W3136285883 hasVolume "50" @default.
- W3136285883 isParatext "false" @default.
- W3136285883 isRetracted "false" @default.
- W3136285883 magId "3136285883" @default.
- W3136285883 workType "article" @default.