RESUMO
BACKGROUND: About 80% of all people in Germany die in inpatient care. Around every fifth person in inpatient care is relocated to another care area in the last phase of their life. That is more than 150,000 people being relocated, often without indication. 13 risk factors were identified for these non-indicated relocations. METHOD: With the support of the AWMF, two regionally effective guidelines were developed and implemented in a maximum care hospital and a care facility. A palliative consultation service has been established in the university hospital. Comprehensive personnel and organizational development was carried out in the care facility. Different collaborations with relevant regional partners of both model institutions were systematically expanded. RESULTS AND CONCLUSIONS: The relocations could be significantly reduced despite the short duration of the project. This was also possible through the establishment of decision-making aids and digital implementation support. The results of the accompanying ethical and social research justify the procedure: There is an increase in the satisfaction of relatives and employees.
Assuntos
Administração Financeira , Cuidados Paliativos , Alemanha , Hospitalização , Humanos , Encaminhamento e ConsultaRESUMO
Nursing home residents and hospital patients are often relocated to other facilities or within their own facility in their last days of life. This means an additional burden for those affected and their relatives. In the Avenue-Pal project, the current transfer practice of dying persons is to be recorded and analyzed. Based on this data, care guidelines for hospitals and nursing homes are to be developed. The aims are to reduce the frequency of relocation, to increase the quality of care, to improve the satisfaction of those affected and their families, but also of the nursing staff, and last but not least, to save resources. The project is funded by the Innovation Fund of the Federal Joint Committee (G-BA).