Skip to main content
Log in

Benchmarking: a useful tool for informing and improving care of the dying?

  • Original Article
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Objective

The objective of this study was to evaluate the utility of participating in two benchmarking exercises to assess the care delivered to patients in the dying phase using the Liverpool Care Pathway for the Dying Patient (LCP).

Design

The study uses questionnaire evaluation of the benchmarking process assessing the quality/usefulness of: sector feedback reports, individual feedback reports and the workshop element.

Setting

Healthcare professionals representing hospital, hospice and community settings.

Participants

Sixty-two out of 75 potential participants (83%) returned completed questionnaires.

Main outcome measure

A study-specific questionnaire was administered as part of the final workshop element of the benchmarking exercise. The questionnaire contained a mixture of ‘Likert’-type responses and open-ended questions.

Results

Participants from all sectors reported that the feedback reports contained the right amount and level of data (82–100%), that they were easy to understand (77–92%) and that they were useful to the organisation (94–100%). Respondents particularly valued the opportunity to discuss more fully the results of the benchmark and to network and share elements of good practice with other attendees in the workshops. Participants from the hospital sector identified changes in practice that had occurred as a result of participation.

Conclusions

Using comparative audit data that are readily available from the LCP and using workshops to discuss the findings and plan future care was perceived as a valuable way in which to explore the care delivered to dying patients in a variety of settings.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Ellershaw J, Smith C, Overill S, Walker SE, Aldridge J (2001) Care of the dying: setting standards for symptom control in the last 48 hours of life. J Pain Symptom Manage 21(1):12–17

    Article  PubMed  CAS  Google Scholar 

  2. Ellershaw J and Wilkinson S (eds) (2003) Care of the dying—a pathway to excellence. Oxford University Press, Oxford

  3. Berwick DM (1996) A primer on leading the improvement of systems. BMJ 312:619–622

    PubMed  CAS  Google Scholar 

  4. Graham NO (1995) Quality in health care: theory, application, and evolution. Aspen Publications, New York

    Google Scholar 

  5. Rinck GC, van den Bos GA, Kleijnen J, de Haes HJ, Schade E, Veenhof CH (1997) Methodologic issues in effectiveness research on palliative cancer care: a systematic review. J Clin Oncol 15(4):1697–1707

    PubMed  CAS  Google Scholar 

  6. Westcombe AM, Gambles MA, Wilkinson SM, Barnes K, Fellows D, Maher EJ, Young T, Love SB, Lucy RA, Cubbin S, Ramirez AJ (2003) Learning the hard way! Setting up an RCT of aromatherapy massage for patients with advanced cancer. Palliat Med 17(4):300–307

    Article  PubMed  CAS  Google Scholar 

  7. Ellis J (1995) Using benchmarking to improve practice. Nurs Stand 9(35):25–28

    PubMed  CAS  Google Scholar 

  8. Ellis J (2000) Sharing the evidence: clinical practice benchmarking to improve continuously the quality of care. J Adv Nurs l32(1):215–225

    Article  Google Scholar 

  9. Matykiewicz L, Ashton D (2005) Essence of Care benchmarking: putting it into practice. Benchmarking: An International Journal 12(15):467–481

    Article  Google Scholar 

  10. Northcott D (2005) Benchmarking in UK health: a gap between policy and practice? Benchmarking: An International Journal 12(17):419–435

    Article  Google Scholar 

  11. Gambles M, Stirzaker S, Jack B, Ellershaw J (2006) The Liverpool Care Pathway in hospices: an exploratory study of doctor and nurse perceptions. Int J Palliat Nurs 12(9):414–421

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to John Ellershaw.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ellershaw, J., Gambles, M. & McGlinchey, T. Benchmarking: a useful tool for informing and improving care of the dying?. Support Care Cancer 16, 813–819 (2008). https://doi.org/10.1007/s00520-007-0353-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-007-0353-5

Keywords

Navigation