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. 2020 Oct;7(3):e50-e53.
doi: 10.7861/fhj.2020-0047.

Care of the dying person before and during the COVID-19 pandemic: A quality improvement project

Simon Tavabie  1 , Steve Bass  2 , Eleanor Stewart  2 , Ethan Redmore  2 , Ollie Minton  2
Affiliations

Care of the dying person before and during the COVID-19 pandemic: A quality improvement project

Simon Tavabie et al. Future Healthc J. 2020 Oct.

Abstract

The current COVID-19 pandemic has necessitated the redeployment of NHS staff to acute-facing specialties, meaning that care of dying people is being provided by those who may not have much experience in this area. This report details how a plan, do, study, act (PDSA) approach was taken to implementing improved, standardised multidisciplinary documentation of individualised care and review for people who are in the last hours or days of life, both before and during the COVID-19 pandemic. The documentation and training produced is subject to ongoing review via the specialist palliative care team's continuously updated hospital deaths dashboard, which evaluates the care of patients who have died in the trust. We hope that sharing the experiences and outcomes of this process will help other trusts to develop their own pathways and improve the care of dying people through this difficult time and beyond.

Keywords: COVID-19; dying; end of life; palliative.

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References

    1. Royal College of Physicians Talking about dying: How to begin honest conversations about what lies ahead. RCP, 2018. Available from www.rcplondon.ac.uk/projects/outputs/talking-about-dying-how-begin-hones... [Accessed 16 May 2020].
    1. Department of Health and Social Care More care, less pathway: a review of the Liverpool Care Pathway. DHSC, 2013. Available from www.gov.uk/government/publications/review-of-liverpool-care-pathway-for-... [Accessed 16 May 2020].
    1. Leadership Alliance for the Care of Dying People One chance to get it right. Available from https://assets.publishing.service.gov.uk/government/uploads/system/uploa... [Accessed 16 May 2020].
    1. Minton O, Ede C, Bass S, et al. Hospital deaths dashboard: care indicators. BMJ Support Palliat Care 2020, in press ( 10.1136/bmjspcare-2020-002223). - PubMed
    1. NHS Improvement Plan, do, study, act (PDSA) cycles and the model for improvement. Available from https://improvement.nhs.uk/documents/2142/plan-do-study-act.pdf [Accessed 16 May 2020].