Literature DB >> 18027000

Benchmarking: a useful tool for informing and improving care of the dying?

John Ellershaw1, Maureen Gambles, Tamsin McGlinchey.   

Abstract

OBJECTIVE: The objective of this study was to evaluate the utility of participating in two benchmarking exercises to assess the care delivered to patients in the dying phase using the Liverpool Care Pathway for the Dying Patient (LCP).
DESIGN: The study uses questionnaire evaluation of the benchmarking process assessing the quality/usefulness of: sector feedback reports, individual feedback reports and the workshop element.
SETTING: Healthcare professionals representing hospital, hospice and community settings. PARTICIPANTS: Sixty-two out of 75 potential participants (83%) returned completed questionnaires. MAIN OUTCOME MEASURE: A study-specific questionnaire was administered as part of the final workshop element of the benchmarking exercise. The questionnaire contained a mixture of 'Likert'-type responses and open-ended questions.
RESULTS: Participants from all sectors reported that the feedback reports contained the right amount and level of data (82-100%), that they were easy to understand (77-92%) and that they were useful to the organisation (94-100%). Respondents particularly valued the opportunity to discuss more fully the results of the benchmark and to network and share elements of good practice with other attendees in the workshops. Participants from the hospital sector identified changes in practice that had occurred as a result of participation.
CONCLUSIONS: Using comparative audit data that are readily available from the LCP and using workshops to discuss the findings and plan future care was perceived as a valuable way in which to explore the care delivered to dying patients in a variety of settings.

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Mesh:

Year:  2007        PMID: 18027000     DOI: 10.1007/s00520-007-0353-5

Source DB:  PubMed          Journal:  Support Care Cancer        ISSN: 0941-4355            Impact factor:   3.603


  7 in total

1.  Learning the hard way! Setting up an RCT of aromatherapy massage for patients with advanced cancer.

Authors:  A M Westcombe; M A Gambles; S M Wilkinson; K Barnes; D Fellowes; E J Maher; T Young; S B Love; R A Lucey; S Cubbin; A J Ramirez
Journal:  Palliat Med       Date:  2003-06       Impact factor: 4.762

2.  The Liverpool Care Pathway in hospices: an exploratory study of doctor and nurse perceptions.

Authors:  Maureen Gambles; Susan Stirzaker; Barbara A Jack; John E Ellershaw
Journal:  Int J Palliat Nurs       Date:  2006-09

Review 3.  Methodologic issues in effectiveness research on palliative cancer care: a systematic review.

Authors:  G C Rinck; G A van den Bos; J Kleijnen; H J de Haes; E Schadé; C H Veenhof
Journal:  J Clin Oncol       Date:  1997-04       Impact factor: 44.544

4.  Using benchmarking to improve practice.

Authors:  J Ellis
Journal:  Nurs Stand       Date:  1995 May 24-30

5.  A primer on leading the improvement of systems.

Authors:  D M Berwick
Journal:  BMJ       Date:  1996-03-09

6.  Care of the dying: setting standards for symptom control in the last 48 hours of life.

Authors:  J Ellershaw; C Smith; S Overill; S E Walker; J Aldridge
Journal:  J Pain Symptom Manage       Date:  2001-01       Impact factor: 3.612

Review 7.  Sharing the evidence: clinical practice benchmarking to improve continuously the quality of care.

Authors:  J Ellis
Journal:  J Adv Nurs       Date:  2000-07       Impact factor: 3.187

  7 in total
  6 in total

Review 1.  Benchmarking: a method for continuous quality improvement in health.

Authors:  Amina Ettorchi-Tardy; Marie Levif; Philippe Michel
Journal:  Healthc Policy       Date:  2012-05

2.  Understanding integrated care pathways in palliative care using realist evaluation: a mixed methods study protocol.

Authors:  Sonia Michelle Dalkin; Diana Jones; Monique Lhussier; Bill Cunningham
Journal:  BMJ Open       Date:  2012-07-02       Impact factor: 2.692

Review 3.  Benchmarking specialty hospitals, a scoping review on theory and practice.

Authors:  A Wind; W H van Harten
Journal:  BMC Health Serv Res       Date:  2017-04-04       Impact factor: 2.655

4.  The Liverpool Care Pathway for the Dying Patient: a critical analysis of its rise, demise and legacy in England.

Authors:  Jane Seymour; David Clark
Journal:  Wellcome Open Res       Date:  2018-04-24

5.  Outcome-Based Quality Control by a Dental Reference Profile of a Population-Based Study (SHIP-0).

Authors:  Stefanie Samietz; Andreas Söhnel; Christian Schwahn; Birte Holtfreter; Torsten Mundt; Peter Meisel; Wolfgang Hoffmann; Thomas Kocher; Reiner Biffar
Journal:  Int Sch Res Notices       Date:  2015-07-02

Review 6.  Benchmarking facilities providing care: An international overview of initiatives.

Authors:  Frédérique Thonon; Jonathan Watson; Mahasti Saghatchian
Journal:  SAGE Open Med       Date:  2015-09-23
  6 in total

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