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Palliative Care for Non-cancer Patients$
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Julia Addington-Hall and Irene Higginson

Print publication date: 2001

Print ISBN-13: 9780192629609

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780192629609.001.0001

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Reforming care through continuous quality improvement

Reforming care through continuous quality improvement

(p.210) Chapter 17 Reforming care through continuous quality improvement
Palliative Care for Non-cancer Patients

Joanne Lynn

Oxford University Press

Anyone working with those near death in the US at the start of the twenty-first century will recognise the disastrous state of care most patients and families face. Even if most people at the end of life have no overwhelming symptoms and no serious gaps in care, so many people have such bad experiences that everyone fears disaster. The reform efforts made often fail. In one large study, improved counselling, making outcome probabilities available, and identifying patient preferences were insufficient to change patient experiences. Seeing the persistent shortcomings of various other strategies, more and more organisations are turning to the techniques of continuous quality improvement (CQI). This chapter presents a detailed characterisation of how the CQI process works. It begins by discussing the results of CQI in one national collaborative effort.

Keywords:   continuous quality improvement, CQI, patient care, end of life care

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