Development of a Standard for Hospital-Based Palliative Care Consultation Teams in Japan Using a Modified Delphi Method

Sakashita, Akihiro; Kizawa, Yoshiyuki; Kato, Masashi; Akizuki, Nobuya; Nakazawa, Yasuo; Kaizu, Mikiko; Yano, Kazuhiro; Sato, Tetsumi; Tokoro, Akihiro

doi:10.1016/j.jpainsymman.2018.08.013

Cited by 16 publications

(11 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The barriers and challenges associated with palliative care development for PPC in LMICs include a lack of medical staff, lack of specialist education, lack of policies, lack of integration into the health system, and a lack of awareness and available services. 7,8 Therefore, a feasible PPC service model in the context of limited resources in LMICs is crucially needed. Our children's tertiary hospital is one of the largest pediatric hematology/oncology centers in China.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Palliative Care for Children with Cancer in a Children's Tertiary Hospital in China: Six-Year Experience of a Pediatric Palliative Care Service

Zhang

Bing

et al. 2021

Palliative Medicine Reports

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Pediatric Palliative Care for Children with Cancer in a Children's Tertiary Hospital in China: Six-Year Experience of a Pediatric Palliative Care Service

Zhang

Bing

et al. 2021

Palliative Medicine Reports

View full text Add to dashboard Cite

“…Departments that frequently applied for urgent neurological consultation included the intensive care unit (ICU), respiratory medicine, cardiovascular medicine, hematology, and nephrology. At present, it is estimated that about 10% of patients present some neurological manifestations in the previous reports [10][11][12][13]. It has been reported that neurological consultation in the ICU is often urgent consultation, which also suggests that patients have more severe diseases to be managed.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Urgent Neurologic In-Hospital Consultations in a Large Tertiary Hospital Center in China

Wang¹,

Ren²,

Zeng

2020

Preprint

View full text Add to dashboard Cite

Objective: To determine the current state of urgent neurologic in-hospital consultations, this study investigated urgent neurologic in-hospital consultations in a large tertiary hospital in China over a 4-year period. Methods: We conducted a retrospective study of urgent neurologic in-hospital consultations in a large tertiary hospital for 4 consecutive years (Jan. 1, 2014 to Dec. 31, 2017). The clinical data of patients who received urgent neurologic in-hospital consultations were obtained from the electronic medical record system and analyzed. Results: A total of 1437 cases (age range: 9-103 years old; average age: 60.3; males: 54.6%) were included in the study; 57.5% of the consultations were in line with urgent consultation criteria. The departments applying for urgent consultation involved 29Twenty-nine clinical departments were involved in the urgent consultations. consciousness disorder (36.0%), tics/stiffness (13.6%), limb weakness (8%), and mental disorders (5.6%). Urgent consultation diseases were divided into three categories: neurological diseases (77.8%), non-neurological non-neurological diseases (10.4%), and undiagnosed diseases (11.8%). The common neurological disorders included urgent cerebrovascular disease (33.6%), epilepsy/status epilepticus (15.8%), and metabolic or infective toxic encephalopathy (14.9%). Conclusions: Most urgent neurologic consultation is in line with consultations followed the guidelines for urgent neurologic consultation criteria. Non-neurologic. Non-neurological physicians in clinics should enrich their knowledge of frequently occurring urgent and critical neurological diseases.

show abstract

“…Emergency plan evaluation indicator system. Material utilization rate, Staff utilization, Equipment usage rate C 33 Water quality level after disposal, The number of abandoned waters, Damage degree of water transfer project C 41 Technical maturity, Operability, Rationality, Scientific basis, Degree of acceptance C 42 Number of materials and personnel, Allocation rights C 43 Variability, Resilience C 44 Co-movement, Coordination, Communication ability…”

Section: Controllability Of Resource Allocation (C 42 )mentioning

confidence: 99%

“…At present, there are many methods to determine the indicator weight, which can be roughly divided into subjective weighting assessment, objective weighting assessment and combined integration weighting assessment. The subjective weighting method refers to the method of comparing, assigning and calculating the weight of each indicator according to the knowledge and experience or preferences of the decision makers, among which AHP [41,42] and Delphi [43,44] are commonly chosen. The objective weighting method is a method for determining the weight of each indicator based on the difference in objective data of each program evaluation indicator value.…”

Section: Calculation Of the Weights For The Indicatormentioning

confidence: 99%

Integrated Assessment Method of Emergency Plan for Sudden Water Pollution Accidents Based on Improved TOPSIS, Shannon Entropy and a Coordinated Development Degree Model

et al. 2019

View full text Add to dashboard Cite

Water is the source of all things, so it can be said that without the sustainable development of water resources, there can be no sustainable development of human beings. In recent years, sudden water pollution accidents have occurred frequently. Emergency response plan optimization is the key to handling accidents. Nevertheless, the non-linear relationship between various indicators and emergency plans has greatly prevented researchers from making reasonable assessments. Thus, an integrated assessment method is proposed by incorporating an improved technique for order preference by similarity to ideal solution, Shannon entropy and a Coordinated development degree model to evaluate emergency plans. The Shannon entropy method was used to analyze different types of index values. TOPSIS is used to calculate the relative closeness to the ideal solution. The coordinated development degree model is applied to express the relationship between the relative closeness and inhomogeneity of the emergency plan. This method is tested in the decision support system of the Middle Route Construction and Administration Bureau, China. By considering the different nature of the indicators, the integrated assessment method is eventually proven as a highly realistic method for assessing emergency plans. The advantages of this method are more prominent when there are more indicators of the evaluation object and the nature of each indicator is quite different. In summary, this integrated assessment method can provide a targeted reference or guidance for emergency control decision makers.

show abstract

Development of a Standard for Hospital-Based Palliative Care Consultation Teams in Japan Using a Modified Delphi Method

Abstract: We developed a standard for PCCTs in Japanese cancer hospitals. This standard provides a useful guide for clinical activities and a tool to evaluate quality of palliative care.

Cited by 16 publications

References 28 publications

Pediatric Palliative Care for Children with Cancer in a Children's Tertiary Hospital in China: Six-Year Experience of a Pediatric Palliative Care Service

Pediatric Palliative Care for Children with Cancer in a Children's Tertiary Hospital in China: Six-Year Experience of a Pediatric Palliative Care Service

Analysis of Urgent Neurologic In-Hospital Consultations in a Large Tertiary Hospital Center in China

Integrated Assessment Method of Emergency Plan for Sudden Water Pollution Accidents Based on Improved TOPSIS, Shannon Entropy and a Coordinated Development Degree Model

Contact Info

Product

Resources

About