The development and evaluation of an inpatient palliative care admission triage tool

Journal of Palliative Medicine
Jennifer A M PhilipJackie Kearney

Abstract

An increased demand for palliative care services has been demonstrated, in part due to an aging population and an enhanced role of palliative care in nonmalignant illness. In particular, there is a demand for inpatient palliative care unit beds, with several services now creating waiting lists for admission. The aim of this study was to explore the development, implementation, and outcomes following the introduction of an inpatient palliative care admission triage tool. The study consisted of two phases: (1) a developmental phase, in which a purposive-sampled group participated in a series of semistructured discussions to determine the clinical and administrative criteria relevant for consideration of admission priority and (2) an implementation and evaluation phase. This second phase consisted of a 3-month trial of the tool at two inpatient palliative care units (involving three separate campuses), with subsequent evaluation of quantitative and qualitative data related to admission processes. Of the 234 patients, there was a suggestion that those with less urgent needs indicated by a low admission score spent more time on the waiting list. Subsequent qualitative analysis demonstrated acceptance of the tool by clinicians, who s...Continue Reading

References

Jan 22, 2005·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·Georg SauerRolf Sauer
May 23, 2007·Clinical Oncology : a Journal of the Royal College of Radiologists·M V WilliamsA Barrett
Apr 10, 2008·JAMA : the Journal of the American Medical Association·Camilla ZimmermannIan Tannock

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