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Improving the quality of care across all settings 

Improving the quality of care across all settings
Improving the quality of care across all settings

Marilyn Bookbinder

and Romina Arceo

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date: 04 December 2021

This chapter provides perspectives on quality improvement (QI)-based initiatives in US healthcare organizations across settings and populations and discusses their impact on patient, professional, and system outcomes in palliative care. Principles of QI and structural, process, and outcome approaches to conducting QI studies are introduced. A case study is presented of a care-path for the end of life that the author and colleagues pilot-tested. An algorithm addressing dyspnea, a distressing symptom at end-of-life, is offered for testing, and a new approach to evaluating care at the end of life using the Joint Commission’s tracer methodology will be introduced. The chapter closes by showcasing nurses within interdisciplinary teams who are building evidence and providing leadership in the field of quality and palliative care.

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