PALLIATIVE CARE EDUCATION THROUGH QUALITY IMPROVEMENT

通过质量提高进行姑息治疗教育

• 批准号: 2110286
• 负责人: Joseph FRANCIS ODonnell
• 金额: $ 5.61万
• 依托单位: DARTMOUTH COLLEGE
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-09-30 至 1996-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2110286
• 关键词: curriculum; health care personnel education; health care quality; hospices; hospital patient care; medical education; medical outreach /case finding; neoplasm /cancer education; neoplasm /cancer palliative treatment; nurses; physicians; problem solving; terminal patient care

DESCRIPTION: (Applicant's Description) Significant advances have been made in the management of pain and other symptoms in the terminally ill. Studies locally and in the medical literature, however, indicate that large numbers of patients have in adequate relief of pain and other problems prior to death. Quality in palliative care, is dependent on a complex health care delivery system, and the coordination of an interdisciplinary team of providers,in addition to adequate knowledge and skills. In order to improve palliative care delivery, physicians must be able to work within a team and need to understand improvement of health care delivery processes. In this project, medical students, as part of a longitudinal clinical experience, will participate in an interdisciplinary quality improvement team with nurses, staff physicians, hospice team members, support staff and resident physicians to develop a critical pathway for palliative care at three hospitals. The critical pathway will identify steps for delivery of care to terminally ill cancer patients, and will provide on-going education about the process for palliative care to those involved in caring for these patients. Medical students will gain a global understanding of care of the dying from hospice staff, patients and families, hospital staff and chart reviews as part of the data collection for the quality improvement process. A problem-based and interactive curriculum supplements this knowledge. Once developed, a critical pathway for palliative care and the process for integration and ongoing improvement of the pathway will be disseminated to other institutions through the Norris Cotton Cancer Center oncology outreach program, the Vermont Program for Quality in Health Care, and the Veterans Administration National Ethics Center. Our specific aims are to: 1) Develop an ongoing palliative care education program for medical students, resident and staff physicians and other healthcare professionals including hospice team members.2) Foster an understanding for medical students of interdisciplinary healthcare teams, and means of improving healthcare systems through quality improvement efforts.3) Use a continual improvement process to develop a critical pathway for delivering palliative care in three settings, the White River Junction VA Medical Center, the Mount Ascutney Hospital and the Dartmouth Hitchcock Medical Center. Create self-perpetuating palliative care quality improvement through implementation of the critical pathway and ongoing evaluation and modification of the pathway.

描述：（申请人的描述）已经取得了重大进展。 在管理疼痛和其他症状的终端 伊利诺伊州 然而，当地和医学文献中的研究表明， 大量的患者在充分缓解疼痛， 死亡前的其他问题。 姑息治疗的质量， 依赖于复杂的医疗保健提供系统， 协调一个跨学科的供应商团队，此外， 足够的知识和技能。 为了改善姑息治疗 分娩，医生必须能够在一个团队中工作，并需要 了解医疗保健提供流程的改进。 在这 项目，医学生，作为纵向临床的一部分， 经验，将参与跨学科的质量 由护士、医生、临终关怀小组成员组成的改善小组， 支持工作人员和住院医生制定关键路径 在三家医院进行姑息治疗 关键路径将 确定向晚期癌症患者提供护理的步骤， 并将提供有关姑息治疗过程的持续教育， 照顾这些病人的人。 医疗 学生将获得一个全球性的了解照顾垂死的人， 临终关怀工作人员、病人和家属、医院工作人员和图表审查 作为质量改进过程数据收集的一部分。 一个基于问题和互动的课程补充了这方面的知识。 一旦开发出来，姑息治疗的关键途径和 整合和持续改进途径的过程将 通过诺里斯棉花癌症传播到其他机构 中心肿瘤外展计划，佛蒙特州质量计划， 卫生保健和退伍军人管理局国家道德中心。 我们的具体目标是：1）开发持续的姑息治疗 医学生、住院医师和工作人员的教育计划 和其他医疗保健专业人员，包括临终关怀团队成员。2） 培养医学生对跨学科的理解 医疗保健团队，以及通过以下方式改善医疗保健系统的方法 质量改进工作。3）使用持续改进过程 制定一个关键途径， 三个设置，白河交汇处VA医疗中心， 阿斯卡特尼山医院和达特茅斯希区柯克医疗中心。 通过以下方式创造自我延续的姑息治疗质量改进 关键途径的实施和持续评价， 修改路径。