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Improving care of the dying in an NHS hospital

Providing end of life care that is dignified and compassionate is a vital part of delivering high quality care in hospitals. Dr. Mary Miller and colleagues at the OUH have significantly improved care using the ‘human, learning, systems’ approach.

The ‘human, learning, systems’ (HLS) approach described by Lowe and Plimmer recognises that people, issues and systems are complex.1,2 Lowe and Plimmer present a model, a paradigm shift, which calls for faith and trust that people know what to do and want to do their job and encourages systems to embrace complexity in order to create positive social outcomes for our community. The commissioning and provision of healthcare are complex tasks. Embracing the principles of HLS in the National Health Service (NHS) may improve the delivery of healthcare and liberate providers and commissioners. This article describes an example of an HLS approach in the NHS and identifies the positive outcomes. 

The HLS approach underpinned the ‘Improving Care of the Dying’ quality improvement project in our large, tertiary referral, acute, teaching hospital. The project supported and enabled staff in their own department to identify the changes they wanted to make and to make them. Incrementally, across the hospital, the quality of care provided to dying patients and those important to the patient improved. 

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Upcoming Events

AfPP Annual Conference 2022

University of York
8-11 September 2022

Infection 360: What's trending in infection prevention & control

Edgbaston Stadium, Birmingham
27-28 September 2022

IP2022 IS COMING TO BOURNEMOUTH IN OCTOBER 2022

Bournemouth
17-19 October 2022

UKHCA Conference: Listen Up

Pendulum Hotel and Manchester Conference Centre, Manchester
3rd November 2022

MEDICA 2022

Dusseldorf Germany
14th November - 17th November

Future Surgery 2022

ExCel, London
15th - 16th November 2022

Access the latest issue of Clinical Services Journal on your mobile device together with an archive of back issues.

Download the FREE Clinical Services Journal app from your device's App store

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