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Mashup Score: 3Preventing Future Harm: Identifying the Drivers of an Unsafe Discharge to Improve Safety on an Inpatient Oncology Service - 9 month(s) ago
Cancer Morbidity, Mortality, and Improvement Rounds is a series of articles intended to explore the unique safety risks experienced by oncology patients through the lens of quality improvement, systems and human factors engineering, and cognitive psychology. For purposes of clarity, each case focuses on a single theme, although, as is true for all medical incidents, there are almost always multiple, overlapping, contributing factors. The quality improvement paradigm used here, which focuses on root cause analyses and opportunities to improve care delivery systems, was previously outlined in this journal. This article describes the care of a young patient with aggressive breast cancer, declining performance status, and multiple hospital admissions who died shortly after being discharged home without essential medications or an adequate plan for follow-up. The patient’s death due to her malignancy was unavoidable, but she had inadequate resources before her death, leading to avoidable su
Source: ascopubs.orgCategories: Hem/Onc News and Journals, Latest HeadlinesTweet
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Mashup Score: 0Attitudes Toward Striving for Quality and Length of Life Among Patients With Advanced Cancer and a Poor Prognosis - 2 year(s) ago
PURPOSE: When deliberating palliative cancer treatment, insight into patients’ attitudes toward striving for quality of life (QL) and length of life (LL) may facilitate goal-concordant care. We investigated the (1) attitudes of patients with advanced cancer toward striving for QL and/or LL and whether these change over time, and (2) characteristics associated with these attitudes (over time)….
Source: JCO Oncology PracticeCategories: Hem/Onc News and Journals, Latest HeadlinesTweet-
Changes in individual pt attitudes toward striving for #QOL &/or increased length of life indicate they may benefit from repeated #goalsofcare discussions. >75% w/ advanced cancer CHANGED attitudes in the last 6 mo of life. 👉 https://t.co/r2IVt5T0JV @ingehenselmans #hpm #pallonc https://t.co/0vLP3ntGIa
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Mashup Score: 0
The program was associated with significant reductions in patients’ length of stay in the ICU, ICU mortality, and in-hospital mortality.
Source: Cancer Therapy AdvisorCategories: Hem/Onc News and Journals, Latest HeadlinesTweet
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Mashup Score: 0The Hospital at Home Model vs Routine Hospitalization for Acute Heart Failure: A Survey of Patients’ Preferences - 2 year(s) ago
Patients with heart failure (HF) experience recurrent hospitalizations and may prefer a Hospital at Home (HaH) model over routine hospitalization.
Source: CJC OpenCategories: Cardiologists, Latest HeadlinesTweet
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Mashup Score: 39Opinion | When Faced With Death, People Often Change Their Minds - 2 year(s) ago
Do advance directives by healthy people actually deliver better care?
Source: www.nytimes.comCategories: Cardiologists, Latest HeadlinesTweet
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Mashup Score: 0Goal-Concordant Care After Hospitalization for Serious Acute Illness: A Key Opportunity for Hospitalists in Patient-Centered Outcomes - 2 year(s) ago
*Corresponding Author: Matthew Molloy, MD, MPH; Email: matthew.molloy@cchmc.org; Telephone: 513-803-8092; Twitter: @MMolloyMD.
Categories: General Medicine Journals and Societies, Latest HeadlinesTweet
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Mashup Score: 1Goal-Concordant Care After Hospitalization for Serious Acute Illness: A Key Opportunity for Hospitalists in Patient-Centered Outcomes - 2 year(s) ago
*Corresponding Author: Matthew Molloy, MD, MPH; Email: matthew.molloy@cchmc.org; Telephone: 513-803-8092; Twitter: @MMolloyMD.
Categories: General Medicine Journals and Societies, Latest HeadlinesTweet
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Mashup Score: 19Effect of Early Palliative Care on End-of-Life Health Care Costs: A Population-Based, Propensity Score–Matched Cohort Study - 3 year(s) ago
PURPOSE This study aimed to investigate the impact of early versus not-early palliative care among cancer decedents on end-of-life health care costs. METHODS Using linked administrative databases, we created a retrospective cohort of cancer decedents between 2004 and 2014 in Ontario, Canada. We identified those who received early palliative care (palliative care service used in the hospital or…
Source: JCO Oncology PracticeCategories: Latest Headlines, Oncologists1Tweet-
⚕️@oncoalert: Ultimately you refer to #palliativeCare because it's what's best for patients. For symptom control, decreased anxiety/depression, & for essential #goalsofcare conversations. The fact that early #pallonc care is cost-saving? Even better. #hpm https://t.co/xVkD2FoP17 https://t.co/drhPxHMCSO
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Mashup Score: 0“When I Heard the Word Palliative”: Obscuring and Clarifying Factors Affecting the Stigma Around Palliative Care Referral in Oncology - 3 year(s) ago
PURPOSE Palliative care (PC) can help patients with cancer manage symptoms and achieve a greater quality of life. However, there are many barriers to patients with cancer receiving referrals to PC, including the stigmatizing association of PC with end of life. This study explores factors that obscure or clarify the stigma around PC referrals and its associations with end of life in cancer care….
Source: JCO Oncology PracticeCategories: Latest Headlines, Oncologists1Tweet
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Mashup Score: 0Implementing Goals-of-Care Conversations: Lessons From High- and Low-Performing Sites From a VA National Initiative - 3 year(s) ago
The Veterans Health Administration (VA) National Center for Ethics in Healthcare implemented the Life-Sustaining Treatment Decisions Initiative, including policy and practice standards, clinician communication training, a documentation template, and central implementation support to foster advance care planning via goals-of-care conversations for seriously ill veterans in 2014, spreading…
Categories: Latest Headlines, Pain ManagementTweet
#JCOOP Morbidity, Mortality, & Improvement Rounds: Inadequate handoffs, challenges establishing realistic #goalsofcare, and hierarchy w/in & between medical teams resulted in major lapses at discharge. ➡️ https://t.co/kNcSCsKscu #endofLife #bcsm #hpm @the_tjroberts https://t.co/ZACgEobZ8x