Collecting information about deaths in Single Rooms Examples from two hospitals in the HFH Network. Diarmuid Ó Coimín End-of-Life Care Coordinator, Mater Hospital Denis Casey End-of-Life Care Coordinator, University of Limerick Hospital Group

Mater Misericordiae University

Hospital

Improving End of Life Care

through use of single rooms

Presentation by

Diarmuid Ó Coimín

End of Life Care Coordinator

Network of Hospice Friendly Hospitals

March 10th 2015

docoimin@mater.ie

Mater Misericordiae University

Hospital

Improving the patients experience by

utilising Single Rooms at end of life

“Single rooms are consistently

associated in a statistically-

significant way with better care

outcomes in the assessments of

nurses, doctors and relatives ”

“Team meetings are also more likely

to be held when patients are in a

single room”

“The quality of staff communication

with relatives is better when patients

are in a single room and this also

enables relatives to stay overnight

and be present at the moment of

death” (2010 :152)

Mater Misericordiae University

Hospital

Audit Results (2010)

Nationally 15% of all hospital

beds were in single rooms, with 44% of deaths occurring in

single rooms

Mater had 12% of hospital beds in single rooms,

with 45% of deaths occurring in single rooms

Mater Misericordiae University

Hospital

PLAN

Introduce Key Performance Indicator (KPI)

DO

* Key stakeholders: DON

Bed Management & Ward Staff – MDT team etc

* Set Target of 5% in first year

Data collection – IT team

STUDY

Reviewed data & discussed with staff

Measure completed every month

ACT

Assess & monitor changes

Feedback to key stakeholders

Present data *HFH Committee, Stakeholders , Board

PDSA

Mater Misericordiae University

Hospital

Results

Mater Misericordiae University

Hospital

Results

Audit of Deaths in University Hospital Limerick

November 2014

Denis Casey

End-of-Life Care Coordinator,

University of Limerick Hospital Group

denis.casey@hse.ie

Background

• Usually carried out twice yearly – Winter & Summer

• Template given to all wards/ departments

• Completed by either CNM/ staff or clerical

• Collected weekly basis by EOLC Coordinator

• Cross-referenced with mortuary register

Location of Deaths- All deaths

Age Profile of Deceased

Average Age - 74 years Median Age - 80 years Minimum Age - 2 years Maximum age -92 years 62% were aged > 75 years of age

Other Parameters

• Length of stay in hospital prior to death

• Length of time in single room preceding death

• Reasons why patients did not die in single room

• Reasons why single room not available

• If patient did not die in single room where did they die

• Patients not expected to die

Quality improvement plan

• Communicate findings to CNMs, ADONs, bed management and directorate management

• Encourage use of smaller areas if single room not available

• EOLC bed booking system

• Feedback to EOLC committee

• Feedback to frail elderly working group