Evaluating the Liverpool Care Pathway for care of the terminally ill in rural Australia

Anne M. Wilkinson, Claire E. Johnson, Helen Walker, Valerie Colgan, Hayley Arnet, Tapan Rai

Research output: Contribution to journalArticleResearchpeer-review

6 Citations (Scopus)

Abstract

Purpose: This study evaluates a pilot implementation of the Liverpool Care Pathway (LCP), a clinical tool used to guide the care of dying patients in the last days of life, on the end-of-life care for dying patients in three regions in rural Australia. Methods: The LCP was implemented at 13 participating sites: nine hospitals (general wards), one community-based palliative care service, and three in-hospital palliative care units. To evaluate the implementation of the LCP, 415 eligible patient records were examined: 223 pre-implementation and 192 post-implementation (116 on the LCP and 76 receiving usual care). The primary analysis compared all patients pre-implementation of the LCP versus all patients post-implementation. Results: Increases were found post-implementation for communication with other health professionals and with patients or family (pre-69 %, post-87 %; p ≤ 0.000), use of palliative medications (pre-87 %, post-98 %; p ≤ 0.000) and frequency of symptom assessments (pre-66 %, post-82 %; p ≤ 0.000). Fewer blood and radiological investigations were conducted and venous access devices used in the post-implementation groups than in the pre-implementation period. Conclusions: This study suggests that when rigorously implemented, the LCP improves important components of end-of-life care for dying patients and their families.

Original languageEnglish
Pages (from-to)3173-3181
Number of pages9
JournalSupportive Care in Cancer
Volume23
Issue number11
DOIs
Publication statusPublished - Nov 2015
Externally publishedYes

Keywords

  • Critical pathways
  • Palliative care
  • Quality improvement
  • Quality of health care
  • Terminal care

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