title: Benchmarking: a useful tool for informing and improving care of the dying?
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).
  
  
  METHODS
  The study uses questionnaire evaluation of the benchmarking process assessing the quality/usefulness of: sector feedback reports, individual feedback reports and the workshop element.
  
  
  METHODS
  Healthcare professionals representing hospital, hospice and community settings.
  
  
  METHODS
  Sixty-two out of 75 potential participants (83%) returned completed questionnaires.
  
  
  METHODS
  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.
authors.affiliation: Marie Curie Palliative Care Institute Liverpool, University of Liverpool, Speke Road, Woolton, Liverpool, L25 8QA, UK. john.ellershaw@mariecurie.org.uk
authors.forename: John
authors.initials: J
authors.lastname: Ellershaw
authors.forename: Maureen
authors.initials: M
authors.lastname: Gambles
authors.forename: Tamsin
authors.initials: T
authors.lastname: McGlinchey
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001293:Attitude to Death; D019985:Benchmarking / Q000592:standards; D004493:Education; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D010865:Pilot Projects; D011787:Quality of Health Care / Q000592:standards*; D011795:Surveys and Questionnaires; D006113:United Kingdom