The Commonwealth, state and territory governments across Australia are increasing their focus on improving the safety and quality of end-of-life care.
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Reviewing the delivery of comprehensive care is important for ensuring patients are receiving care that meets their clinical and personal needs; that risks are efficiently and effectively identified and mitigated; that the agreed comprehensive care plan is achieving what it aimed to; and that patient goals and expectations are being met.
The delivery of comprehensive care should aim to address the health issues the patient was admitted with, and the risks of harm identified, to achieve the agreed clinical and personal goals of care.
A comprehensive care plan is a document or digital view describing agreed goals of care, and outlining planned medical, nursing, midwifery and allied health activities for a patient. A single comprehensive care plan should be prepared for a patient so that core information can be shared, accessed and acted on by all members of the multidisciplinary team.
To focus care on patients’ needs, and determine the most appropriate model of care for the patient, it is important that health services identify and assess patients’ risk of harm. Identifying patients who may be at risk of harm, and mitigating the risks for those patients is a core part of comprehensive care planning and treatment.
Goals of care describe what a patient wants to achieve during an episode of care, within the context of their clinical situation. Goals of care are the clinical and personal goals for a patient’s episode of care that are determined through a shared decision-making process.
The first step in delivering comprehensive care is undertaking a clinical assessment. Clinical assessment should be based on the patient’s subjective report of the symptoms and course of the illness or condition, and objective findings from clinical assessment to determine provisional and differential diagnoses.
The Commission has developed information for consumers on some key safety and quality issues, and health conditions.
Effective infection prevention and control practices reduce the risk of transmission of infections between patients, healthcare workers and others in the healthcare environment.
Establish processes to accurately identify and record Aboriginal and Torres Strait Islander status.
Building effective and ongoing relationships with Aboriginal and Torres Strait Islander communities, organisations and groups that represent or service this population.
A welcoming environment in a health service organisation is about creating a place where Aboriginal and Torres Strait Islander people feel safe, comfortable, accepted, and confident that they will be respected, will be listened to and will receive high-quality care.
Providing a supportive environment and clear processes for the workforce to explore the cultural needs of Aboriginal and Torres Strait Islander patients can be a significant step towards the development of a safe and respectful organisation, where patients, their families and other community members can feel comfortable to engage with and receive care.