A care-bundles approach to improving standard of care in AECOPD admissions: results of a national project

A care-bundles approach to improving standard of care in AECOPD admissions: results of a national project

This report describes a care bundles implementation project for COPD undertaken during 2013 in England and Wales. High-level data were collected on outcomes of care for 11 748 patients admitted with an acute exacerbation of COPD (AECOPD). Patient-level data on processes and outcomes of care were col...

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Veröffentlicht in:Thorax 2015-10, Vol.70 (10), p.992-994
Hauptverfasser: Turner, AM, Lim, WS, Rodrigo, C, Welham, SA, Calvert, JM
Format: Artikel
Sprache:eng
Schlagworte:
Acute Disease
Aged
Aged, 80 and over
Audits
Data collection
Emergency medical care
England
Female
Hospitalization
Hospitals
Humans
Male
Middle Aged
Mortality
Outcome Assessment (Health Care)
Patient Care Bundles
Patient satisfaction
Pilot Projects
Pulmonary Disease, Chronic Obstructive - complications
Pulmonary Disease, Chronic Obstructive - therapy
Standard of Care
Studies
Trusts
Wales
Workforce planning
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Zusammenfassung:This report describes a care bundles implementation project for COPD undertaken during 2013 in England and Wales. High-level data were collected on outcomes of care for 11 748 patients admitted with an acute exacerbation of COPD (AECOPD). Patient-level data on processes and outcomes of care were collected on 3272 COPD admissions, among which 1174 bundles were delivered. Analysis demonstrated a statistically significant reduction in mortality and length of hospital stay from some bundle elements. Outcomes, including bundle completion rates, were better when specialist respiratory review occurred. The results support wider use of care bundles for AECOPD.
ISSN:0040-6376
1468-3296
DOI:10.1136/thoraxjnl-2015-206833