The Gold Standards Framework Hospital programme: implementation and progress

Kirste, Thomas; Armstrong-Wilson, Julie; Clifford, Collette

doi:10.12968/ijpn.2022.28.4.172

Cited by 6 publications

(7 citation statements)

References 11 publications

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“…This framework emphasizes personalized care plans, clear communication, and coordinated support across different healthcare settings using different scores and predictive tools. 15 , 32 …”

Section: Discussionmentioning

confidence: 99%

“…It’s crucial to have structured and objective discussions about end-of-life care while always prioritizing the mental health and needs of both the patient and their family. 15 , 17 , 18 , 21 , 34 Therefore, relying solely on a single predictor score is not ethical or suitable if not applied with compassion and empathy.…”

Section: Discussionmentioning

confidence: 99%

“…However, it is essential to ensure effective and efficient care. [15][16][17] Objective scores, widely used in the clinical world, can help reduce miscommunication between healthcare providers, patients, and families. In addition, they can help bridge interdisciplinary differences in therapy courses, thereby ensuring that patients receive the best possible care.…”

Section: Discussionmentioning

confidence: 99%

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Predicting End-of-Life in a Hospital Setting

Giwangkancana,

Anina,

Sukandar

2024

JMDH

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Background The ability to predict the prognosis of a disease and anticipate death is valuable for patients and families especially in an acute care setting for chronically ill patient. Multiple scoring systems are used to measure disease progression and predict hospital mortality in patients with life-threatening illnesses, taking into account acute conditions, catastrophic events, and slow decline. Aim Our primary aim is to assess palliative performance score (PPS), early warning score (EWS) and local rumah sakit Dr Hasan Sadikin (RSHS) score to predict 14 days in-hospital mortality. Methods This was a single-center prospective cohort study from November 2022 to April 2023. Patients with World Health Organization category of terminal illnesses were scored using PPS, EWS and RSHS score and were followed up for 14 days in hospital. Multivariate analysis were conducted and The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines were used. Results A multivariable model was calculated using Cox regression. The final model results indicate that EWS (HR: 2.9, 95% CI: 1.1–7.7) and a decrease in consciousness (HR: 3.6, 95% CI: 1.2–10.22) were statistically significant in predicting mortality. Discussions Most patient in the cohort that died had cancer and were admitted in the previous 6 months. Relying solely on single prediction may not provide enough accuracy, within a 14-day timeframe. Therefore, the results of multivariate analysis were not statistically significant due to Several factors contribute to the complexity of this prediction challenge. As a multifaceted disease with varying stages, treatments, and outcomes, cancer presents a diverse landscape of patient experiences. Conclusion EWS and decreased consciousness are significant predictors of in-hospital mortality. It is crucial in clinical setting to use multiple indicators to predict death and improve patient care.

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“…This framework emphasizes personalized care plans, clear communication, and coordinated support across different healthcare settings using different scores and predictive tools. 15 , 32 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Predicting End-of-Life in a Hospital Setting

Giwangkancana,

Anina,

Sukandar

2024

JMDH

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“…Based on the outpatient performance report of X Hospital in 2020, the target number of outpatients was 1325.5 patients/day on average, outpatient obstetrics of 150 patients/day, outpatient children of 220 patients/day on average, and other outpatients of 955.5 patients/day. The target for the use of polyclinic rooms was 80%, and the target of new outpatients was 20% [18].…”

Section: Discussionmentioning

confidence: 99%

Marketing Strategy Analysis Based on Segmenting, Targeting, and Positioning in Hospital

Ningsih

Marwati²

2023

Dis.Prev.Public Heal J.

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Background: There is a fluctuating trend related to the number of patient visits at Nur Hidayah Hospital, Bantul, so it is necessary to formulate the right Segmentation, Targeting, and Positioning (STP) in order to increase inpatient and outpatient visits and achieve standard inpatient service indicators. The purpose of this study is to analyze the marketing strategy of Nur Hidayah Hospital based on STP. Method: This study follows a descriptive qualitative design. The key informants in this study were the general director and the marketing manager of the hospital, and the triangulation informants in this study were medical officers and patients. Results: The results revealed that the segmenting was based on demographics with females or housewives with secondary education levels or lower as the highest number of service users. Based on the geographical characteristics, a significant number of service users were those living in Ring 1, an area within a radius of 0-10 km from the hospital. Targeting has been conducted well as seen by the number of patients that reached 6,500 service users within a year. Positioning was related to the availability of surgeons, a relatively short surgery duration, and services that are good, friendly, and neat that make patients feel like they are treated by their own families. Conclusion: The market segment, targeting, and positioning was good, but not fulfilled enough. Nur Hidayah Hospital should evaluate community responses regarding what is needed to fulfill target community.

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“…Our review suggests that a lack of appropriate identification and uncertainties about prognosis are barriers to effective communication about patients with a poor prognosis. The Gold Standards Framework proactive identification guidance(52) has been proposed as an effective screening tool for use in secondary care settings,(53) although research suggests that healthcare professionals struggle to convey the results of this screening to patients and their loved ones. (54) Etkind and Koffman(55) postulate that prognostic uncertainty can be a source of patient distress, leading to over-investigation and increased healthcare resource use.…”

mentioning

confidence: 99%

What helps or hinders the communication of poor prognosis between secondary and primary care? A systematic review with narrative synthesis

Pocock,

Palit,

McDermott

et al. 2024

Br J Gen Pract

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Introduction The communication of poor prognosis from secondary to primary care helps to ensure that patients with life-limiting illness receive appropriate, coordinated care in line with their preferences. However, little is known about this information-sharing process. Aim To determine how poor prognosis is communicated from secondary care to primary care. Design and setting Systematic literature review and narrative synthesis. Method Four electronic databases were searched from 1st January 2000 to 17th May 2021, supplemented by hand-searching key journals. One quarter of titles and abstracts were independently screened by a second reviewer. Two reviewers undertook data extraction and quality appraisal, independently using the Mixed-Methods Appraisal Tool. Data were analysed using narrative synthesis. Reporting follows PRISMA guidance. Results Searches identified 23,853 unique studies of which 30 met the inclusion criteria. Few studies had a focus on the interprofessional communication of poor prognosis. Information about prognosis was not commonly communicated from secondary to primary care and was more likely to occur if death was imminent. Lack of identification of poor prognosis by secondary care teams was a barrier. Facilitators included shared electronic records and direct clinician-clinician contact. GPs welcomed this information from secondary care and felt it was vital for continuity of care. Conclusion Although the communication of poor prognosis from secondary to primary care is highly valued, it is rare and associated with cultural and systemic challenges. Further research is necessary to understand the information needs of GPs and to explore the challenges facing secondary care clinicians initiating this communication.

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The Gold Standards Framework Hospital programme: implementation and progress

Cited by 6 publications

References 11 publications

Predicting End-of-Life in a Hospital Setting

Predicting End-of-Life in a Hospital Setting

Marketing Strategy Analysis Based on Segmenting, Targeting, and Positioning in Hospital

What helps or hinders the communication of poor prognosis between secondary and primary care? A systematic review with narrative synthesis

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