Page 194 - Demo

Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024QLL-100Clinical Audit on Compliance to Stipulated Time for New Case First Visit byCommunity Palliative Care (CPC) in National Cancer InstituteSuganeswary K, Muhamad Fauzi JPalliative Medicine and Supportive Care Department, National Cancer Institute, PutrajayaINTRODUCTION:The goal of community palliative service is to provide care to those with life-limiting illnesses for promptsymptom control to reduce the distress for both patient and family. The first clinical audit on compliancewith stipulated time for New Case First Visit by Community Palliative Care (CPC) at National CancerInstitute was conducted between January and December 2022. A 100% adherence for new case first visitswithin 72 hours of referral was set as the audit criteria. Initial audit did not achieve the set standard of100%. After identifying appropriate remedial measures, a second audit was carried out to monitoradherence which showed improvement.METHODOLOGY:All new cases referred to CPC targeted to have first home visit within 72 hours after referral is made.Data collection from CPC new case census book was conducted for each initial audit from January toDecember 2022 and Excel sheet form information was used for re-audit phase from January to June2023.Strategies for change implemented prior to re-audit phase include reinforcement to staffs andimprovement of CPC data collection.RESULTS:The audit revealed that criteria did not meet standard. Initial audit showed only 23% of total new casesreferred to CPC were able to have their first home visit within 72 hours and follow-up second auditshowed improved in adherence to 69%.DISCUSSION:Several factors contributed to the initial non-adherence, including shortage of staff, incomplete referral,patient still admitted in ward, vehicle failure, natural disaster, and refusal of patient or next of kin for CPChome visit. Remedial actions such as staff training, periodic re-audits, introduction of a new case referralform, contributed to the improvement in adherence rate. The follow-up audit indicates that compliance tothe 72-hour timeframe for first home visits by CPC improved following the implementation of thesemeasures.193 | Page