Dying in hospital in Ireland; an assessment of the quality of care in the last week of life. Report 5, final synthesis report

Hdl Handle:
http://hdl.handle.net/10147/141065
Title:
Dying in hospital in Ireland; an assessment of the quality of care in the last week of life. Report 5, final synthesis report
Other Titles:
National Audit of End-of-Life Care in Hospitals in Ireland, 2008/9
Authors:
Mc Keown, Kieran; Haase, T; Pratschke, J; Twomey, Shelagh; Donovan, Helen; Engling, F
Affiliation:
Hospice Friendly Hospitals Programme
Publisher:
Irish Hospice Foundation
Issue Date:
May-2010
URI:
http://hdl.handle.net/10147/141065
Additional Links:
http://www.hospicefriendlyhospitals.net/index.php
Item Type:
Report
Language:
en
Description:
The context of this report is set by the fact that most people die in a hospital or similar setting, outside the home. When you consider that most people are also born in hospital, and may spend some time there over the course of a lifetime, it becomes clear that hospitals are central to our passage into life and out of it, touching people at the most important and intimate moments of their lives. In this sense, the work of hospitals mirrors the cycle of life and the expectations of society about its role at each stage of the life cycle. The report assesses the quality of care provided by Irish hospitals in the last week of life. The word ‘hospital’ shares a common linguistic root with words like hospice and hospitality. Hospitality – understood as being welcomed and cared for with kindness and attentiveness - is still what everyone seeks when they come to hospital, including patients and their families who are going through the journey of dying, death and bereavement. That is why the Hospice Friendly Hospitals Programme (2007-2012) commissioned this first ever national audit of end-of-life care in Irish hospitals. This report contributes to the growing practice within the Irish hospital system of auditing performance against standards in order to ensure that every aspect of its work meets, and even exceeds, the highest standards of care and excellence. The quality of care for people who die in an Irish hospital compares favourably to other hospitals in the US, the UK, and France, the main countries for which we have comparative data. At the same time, the audit identified significant weaknesses in how the hospital system responds at each stage of the patient’s journey from admission through to death. These weaknesses also contain the seeds for improvement since the substantial variation in quality of care offered to patients and relatives at the end of life – not only between hospitals, specialties and wards but within them as well - demonstrates the scope for improvement that already exists, and that better and best are possible and within reach. The audit, along with the Quality Standards for End-of-Life Care in Hospitals are offered by the HFH Programme to each hospital in order to support it to become a hospice friendly hospital. In this way, each hospital can become a more hospitable place to die, as the term hospice friendly hospital suggests.
Keywords:
HOSPITALS; MORTALITY
Local subject classification:
DEATH; AUDIT; IRELAND; HOSPICE
Sponsors:
Irish Hospice Foundation

Full metadata record

DC FieldValue Language
dc.contributor.authorMc Keown, Kieranen
dc.contributor.authorHaase, Ten
dc.contributor.authorPratschke, Jen
dc.contributor.authorTwomey, Shelaghen
dc.contributor.authorDonovan, Helenen
dc.contributor.authorEngling, Fen
dc.date.accessioned2011-08-29T10:21:17Z-
dc.date.available2011-08-29T10:21:17Z-
dc.date.issued2010-05-
dc.identifier.urihttp://hdl.handle.net/10147/141065-
dc.descriptionThe context of this report is set by the fact that most people die in a hospital or similar setting, outside the home. When you consider that most people are also born in hospital, and may spend some time there over the course of a lifetime, it becomes clear that hospitals are central to our passage into life and out of it, touching people at the most important and intimate moments of their lives. In this sense, the work of hospitals mirrors the cycle of life and the expectations of society about its role at each stage of the life cycle. The report assesses the quality of care provided by Irish hospitals in the last week of life. The word ‘hospital’ shares a common linguistic root with words like hospice and hospitality. Hospitality – understood as being welcomed and cared for with kindness and attentiveness - is still what everyone seeks when they come to hospital, including patients and their families who are going through the journey of dying, death and bereavement. That is why the Hospice Friendly Hospitals Programme (2007-2012) commissioned this first ever national audit of end-of-life care in Irish hospitals. This report contributes to the growing practice within the Irish hospital system of auditing performance against standards in order to ensure that every aspect of its work meets, and even exceeds, the highest standards of care and excellence. The quality of care for people who die in an Irish hospital compares favourably to other hospitals in the US, the UK, and France, the main countries for which we have comparative data. At the same time, the audit identified significant weaknesses in how the hospital system responds at each stage of the patient’s journey from admission through to death. These weaknesses also contain the seeds for improvement since the substantial variation in quality of care offered to patients and relatives at the end of life – not only between hospitals, specialties and wards but within them as well - demonstrates the scope for improvement that already exists, and that better and best are possible and within reach. The audit, along with the Quality Standards for End-of-Life Care in Hospitals are offered by the HFH Programme to each hospital in order to support it to become a hospice friendly hospital. In this way, each hospital can become a more hospitable place to die, as the term hospice friendly hospital suggests.en
dc.description.sponsorshipIrish Hospice Foundationen
dc.language.isoenen
dc.publisherIrish Hospice Foundationen
dc.relation.urlhttp://www.hospicefriendlyhospitals.net/index.phpen
dc.subjectHOSPITALSen
dc.subjectMORTALITYen
dc.subject.otherDEATHen
dc.subject.otherAUDITen
dc.subject.otherIRELANDen
dc.subject.otherHOSPICEen
dc.titleDying in hospital in Ireland; an assessment of the quality of care in the last week of life. Report 5, final synthesis reporten
dc.title.alternativeNational Audit of End-of-Life Care in Hospitals in Ireland, 2008/9en
dc.typeReporten
dc.contributor.departmentHospice Friendly Hospitals Programmeen
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.