Collecting Information About Deaths in Single Rooms (Presentation from Acute Hospital Network, March 2015) [AHN 26]

1. Collecting information about deaths in Single
Rooms
Examples from two hospitals in the HFH Network.
Diarmuid Ó Coimín
End-of-Life Care Coordinator, Mater Hospital
Denis Casey
End-of-Life Care Coordinator, University of Limerick Hospital
Group

2. Mater Misericordiae University
Improving End of Life Care
through use of single rooms
Presentation by
Diarmuid Ó Coimín
End of Life Care Coordinator
Network of Hospice Friendly Hospitals
March 10th 2015
docoimin@mater.ie

3. Mater Misericordiae University
Improving the patients experience by
utilising Single Rooms at end of life
“Single rooms are consistently
associated in a statistically-
significant way with better care
outcomes in the assessments of
nurses, doctors and relatives ”
“Team meetings are also more likely
to be held when patients are in a
single room”
“The quality of staff communication
with relatives is better when patients
are in a single room and this also
enables relatives to stay overnight
and be present at the moment of
death” (2010 :152)

4. Mater Misericordiae University
Audit Results (2010)
Nationally 15% of all hospital
beds were in single rooms,
with 44% of deaths occurring in
single rooms
Mater had 12% of hospital beds in
single rooms,
with 45% of deaths occurring in single
rooms

5. Mater Misericordiae University
PLAN
Introduce Key Performance Indicator
(KPI)
DO
* Key stakeholders: DON
Bed Management & Ward Staff – MDT team etc
* Set Target of 5% in first year
Data collection – IT team
STUDY
Reviewed data & discussed with staff
Measure completed every month
ACT
Assess & monitor changes
Feedback to key stakeholders
Present data *HFH
Committee, Stakeholders , Board
PDSA

6. Mater Misericordiae University
Results

7. Mater Misericordiae University
Results

8. Audit of Deaths in University Hospital Limerick
November 2014
Denis Casey
End-of-Life Care Coordinator,
University of Limerick Hospital Group
denis.casey@hse.ie

9. Background
• Usually carried out twice yearly – Winter &
Summer
• Template given to all wards/ departments
• Completed by either CNM/ staff or clerical
• Collected weekly basis by EOLC Coordinator
• Cross-referenced with mortuary register

11. Location of Deaths- All deaths

14. Age Profile of Deceased
Average Age - 74 years
Median Age - 80 years
Minimum Age - 2 years
Maximum age -92 years
62% were aged > 75 years of age

15. Other Parameters
• Length of stay in hospital prior to death
• Length of time in single room preceding death
• Reasons why patients did not die in single
room
• Reasons why single room not available
• If patient did not die in single room where did
they die
• Patients not expected to die

16. Quality improvement plan
• Communicate findings to CNMs, ADONs, bed
management and directorate management
• Encourage use of smaller areas if single room
not available
• EOLC bed booking system
• Feedback to EOLC committee
• Feedback to frail elderly working group