Improving quality in adult long covid services: Findings from the LOCOMOTION quality improvement collaborative DOI Creative Commons
Julie Darbyshire, Trisha Greenhalgh, Nawar Diar Bakerly

et al.

Clinical Medicine, Journal Year: 2024, Volume and Issue: 24(5), P. 100237 - 100237

Published: Aug. 23, 2024

The protracted form of COVID-19 known as 'long covid' was first described in 2020. Its symptoms, course and prognosis vary widely; some patients have a multi-system, disabling prolonged illness. In 2021, ring-fenced funding provided to establish 90 long covid clinics England; were also established Scotland Wales. NIHR-funded LOCOMOTION project implemented UK-wide quality improvement collaborative involving ten these clinics, which ran from 2021 2023. At regular online meetings held approximately 8-weekly, participants prioritized topics, discussed research evidence guidelines, presented exemplar case histories clinic audits. A patient advisory group priority-setting exercise, participated undertook service evaluation audit. goal successive cycles aimed at changing practice align with sometimes hard achieve because definitive did not yet exist this new condition; many had comorbidities; practically constrained various ways. Nevertheless, much progress made series 'best practice' guides produced, covering general assessment management; breathing difficulties; orthostatic tachycardia other autonomic symptoms; fatigue cognitive impairment; vocational rehabilitation. This paper summarises key findings the front-line clinician mind.

Language: Английский

Improving quality in adult long covid services: Findings from the LOCOMOTION quality improvement collaborative DOI Creative Commons
Julie Darbyshire, Trisha Greenhalgh, Nawar Diar Bakerly

et al.

Clinical Medicine, Journal Year: 2024, Volume and Issue: 24(5), P. 100237 - 100237

Published: Aug. 23, 2024

The protracted form of COVID-19 known as 'long covid' was first described in 2020. Its symptoms, course and prognosis vary widely; some patients have a multi-system, disabling prolonged illness. In 2021, ring-fenced funding provided to establish 90 long covid clinics England; were also established Scotland Wales. NIHR-funded LOCOMOTION project implemented UK-wide quality improvement collaborative involving ten these clinics, which ran from 2021 2023. At regular online meetings held approximately 8-weekly, participants prioritized topics, discussed research evidence guidelines, presented exemplar case histories clinic audits. A patient advisory group priority-setting exercise, participated undertook service evaluation audit. goal successive cycles aimed at changing practice align with sometimes hard achieve because definitive did not yet exist this new condition; many had comorbidities; practically constrained various ways. Nevertheless, much progress made series 'best practice' guides produced, covering general assessment management; breathing difficulties; orthostatic tachycardia other autonomic symptoms; fatigue cognitive impairment; vocational rehabilitation. This paper summarises key findings the front-line clinician mind.

Language: Английский

Citations

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