A Self-Check Program Targeting Quality Improvement in a Hospital-Based Palliative Care Consultation Team, Japanese Society for Palliative Medicine: Issues Regarding Team Activities Identified through the Plan-Do-Check-Act Cycle

被引：12

作者：

Nakazawa, Yoko ^{[1
,2
]}

Sakashita, Akihiro ^{[1
,3
]}

Kaizu, Mikiko ^{[1
,4
]}

Abo, Hirofumi ^{[1
,5
]}

Ise, Yuya ^{[1
,6
]}

Shinada, Yuichi ^{[1
,7
]}

Sugano, Koji ^{[1
,8
]}

Yamashiro, Akiko ^{[1
,9
]}

Akizuki, Nobuya ^{[10
,11
]}

Kato, Masashi ^{[2
,10
]}

机构：

[1] Japanese Soc Palliat Med, Palliat Care Consultat Team, Self Check Program Working Grp, Osaka, Japan

[2] Natl Canc Ctr, Ctr Canc Control & Informat Serv, Div Med Support & Partnership, Tokyo, Japan

[3] Kobe Univ, Dept Palliat Med, Sch Med, Kobe, Hyogo, Japan

[4] Keio Univ, Grad Sch Hlth Management, Doctoral Program, Tokyo, Japan

[5] Rokkou Hosp, Div Palliat Med, Kobe, Hyogo, Japan

[6] Nippon Med Coll Hosp, Dept Pharm, Tokyo, Japan

[7] Tokyo Med Univ Hosp, Comprehens Counseling & Support Ctr, Tokyo, Japan

[8] Juntendo Tokyo Koto Geriatr Med Ctr, Div Resp Med, Tokyo, Japan

[9] Rakuwakai Otowa Hosp, Dept Palliat Med, Kyoto, Japan

[10] Japanese Soc Palliat Med, Comm Specialized & Cross Sect Palliat Care Promot, Osaka, Japan

[11] Komagome Hosp, Tokyo Metropolitan Canc & Infect Dis Ctr, Div Psychooncol Psychiat, Tokyo, Japan

来源：

JOURNAL OF PALLIATIVE MEDICINE | 2020年 / 23卷 / 03期

关键词：

Japan; observational survey; palliative care consultation team; quality improvement; self-check program; END;

D O I：

10.1089/jpm.2019.0236

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: The number of hospital-based palliative care consultation teams (PCCTs) has increased in Japan, and quality improvement (QI) of PCCTs is an issue. The Japanese Society for Palliative Medicine is building a framework for continuous QI of PCCT activities. Objective: The objective of this study was to develop a program to support QI for PCCTs, and to describe the initial experience with the program. Design: The report details the development of a self-check program, followed by a one-year follow-up observational survey. Methods: We developed a self-check program using the concept of the Plan-Do-Check-Act (PDCA) cycle and a multidisciplinary expert panel. A total of 114 PCCTs entered the program in the first year. Results: We developed three forms for the CHECK, ACT-PLAN, and DO phases aligned with the PDCA cycle. The forms consisted of 34 items across 8 domains. A total of 83 PCCTs (729 members) returned the CHECK, ACT-PLAN forms, and 41 PCCTs returned the DO forms after one year. Overall, 213 high priority issues were identified in the ACT phase. The issues of many PCCTs were "Sharing goals of care is inadequate within the PCCT (33%)" and "Sharing goals of care is inadequate between patient/family or primary team and the PCCT (28%)." Improvements in identified issues were: "achieved" 23% and "almost achieved" 48% after one year. Conclusions: We developed a self-check program to support QI efforts for hospital-based PCCTs. The priority issues among PCCTs and improvement goals with examples were identified. These results will support ongoing efforts to develop a continuous improvement model for QI of PCCTs.

引用

页码：359 / 367

页数：9