P Stachura1,2, J Berendt3,4, S Stiel3,4, U S Schuler4,5, C Ostgathe3,4. 1. Palliativmedizinische Abteilung, Universitätsklinikum Erlangen, Krankenhausstraße 12, 91054, Erlangen, Deutschland. peter.stachura@uk-erlangen.de. 2. Arbeitsgruppe Palliativmedizin im Netzwerk der deutschen Comprehensive Cancer Center, . peter.stachura@uk-erlangen.de. 3. Palliativmedizinische Abteilung, Universitätsklinikum Erlangen, Krankenhausstraße 12, 91054, Erlangen, Deutschland. 4. Arbeitsgruppe Palliativmedizin im Netzwerk der deutschen Comprehensive Cancer Center. 5. Universitäts PalliativCentrum, Universitätsklinikum Carl Gustav Carus , Fetscherstraße 74, 01307, Dresden, Deutschland.
Abstract
BACKGROUND: Standard operating procedures (SOPs) can contribute to the improvement of patient care. OBJECTIVES: Survey the presence and relevance of SOPs for palliative care (PC) within the network of German Comprehensive Cancer Centers (CCCs) funded by the German Cancer Aid. MATERIALS AND METHODS: In a descriptive survey, palliative care services within 15 CCCs funded by the German Cancer Aid were asked to rate availability and thematic relevance of (1) symptom-related, (2) clinical pathways and (3) measures- and processes-oriented SOPs using a structured questionnaire. RESULTS: Pain management SOPs were the most common (n =11; 73 %). The most thematic relevance showed SOPs dedicated to pain management, care in the last days of life and delirium and other neuro-psychiatric diseases (each n =13; 87 %), followed by bowel obstruction, dyspnoea, nausea and palliative sedation (each n =12; 80 %). CONCLUSIONS: There is a wide gap between availability and perceived relevance of palliative care SOPs within the network of German CCCs funded by the German Cancer Aid. It is obvious that there is a need for further development of relevant SOPs in palliative care.
BACKGROUND: Standard operating procedures (SOPs) can contribute to the improvement of patient care. OBJECTIVES: Survey the presence and relevance of SOPs for palliative care (PC) within the network of German Comprehensive Cancer Centers (CCCs) funded by the German Cancer Aid. MATERIALS AND METHODS: In a descriptive survey, palliative care services within 15 CCCs funded by the German Cancer Aid were asked to rate availability and thematic relevance of (1) symptom-related, (2) clinical pathways and (3) measures- and processes-oriented SOPs using a structured questionnaire. RESULTS:Pain management SOPs were the most common (n =11; 73 %). The most thematic relevance showed SOPs dedicated to pain management, care in the last days of life and delirium and other neuro-psychiatric diseases (each n =13; 87 %), followed by bowel obstruction, dyspnoea, nausea and palliative sedation (each n =12; 80 %). CONCLUSIONS: There is a wide gap between availability and perceived relevance of palliative care SOPs within the network of German CCCs funded by the German Cancer Aid. It is obvious that there is a need for further development of relevant SOPs in palliative care.
Entities:
Keywords:
Clinical pathway; Comprehensive Cancer Center; Palliative care; Quality; Standard operating procedure
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