A clinical care pathway to improve the acute care of patients with glioma

Neuro-oncology Practice
Natalie RibletCamilo E Fadul

Abstract

Patients with glioma are at increased risk for tumor-related and treatment-related complications. Few guidelines exist to manage complications through supportive care. Our prior work suggests that a clinical care pathway can improve the care of patients with glioma. We designed a quality improvement (QI) project to address the acute care needs of patients with gliomas. We formed a multidisciplinary team and selected 20 best-practice measures from the literature. Using a plan-do-study-act framework, we brainstormed and implemented various improvement strategies starting in October 2013. Statistical process control charts were used to assess progress. Retrospective data were available for 12 best practice measures. The baseline population consisted of 98 patients with glioma. Record review suggested wide variation in performance, with compliance ranging from 30% to 100%. The team hypothesized that lack of process standardization may contribute to less-than-ideal performance. After implementing improvement strategies, we reviewed the records of 63 consecutive patients with glioma. The proportion of patients meeting criteria for 12 practice measures modestly improved (65% pre-QI; 76% post-QI, P > .1). Unexpectedly, a higher proport...Continue Reading

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Citations

Mar 4, 2018·Neurology·Justin T JordanDouglas E Ney
Aug 12, 2020·JCO Oncology Practice·Julio SilvestreCamilo E Fadul
Mar 7, 2018·Neuro-oncology·Justin T JordanDouglas E Ney

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