Clinical Audit and Effectiveness Report 2014-2015 from St Columba's Hospice

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Hand Hygiene Audits: Cleanliness Champions within the hospice are responsible for carrying out Hand Hygiene and Infection Control Audits. Hand hygiene audits have been out monthly between September 2014 to March 2015. This work is reported to the Infection Control Group.

To further develop patient care in all services The hospice is committed to developing patient care in all services and examples of this include:

Development of a Person Centred Care at the End of Life Document: A working group critically reviewed the literature and undertook a rigorous consultation with clinical staff, nonclinical staff, volunteers, patients and families to elicit views on what mattered most at the end of life. An openness from colleagues across Lothian to share their work and review the work of SCH was invaluable. This document was introduced in December 2014 with an initial review taking place 6 weeks post implementation.

Preferred Place of Death Audit: The hospice was asked by the Lothian Managed Clinical Network to audit practice of identifying and achievement of Preferred Place of Death for patients who had died in all care services provided by all hospices services. Monthly audits were carried out until June 2014 and reported to the End of Life Care Group. A journal club session has been delivered to inform staff of the results and changes to our documentation practice as a result of the audit. In addition, a poster presenting the findings of the audit has been presented at The Scottish Partnership in Palliative Care Conference in September 2015.


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