About: Palliative Care Integration Project (PCIP) Quality Improvement Strategy Evaluation

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Palliative Care Integration Project (PCIP) Quality Improvement Strategy Evaluation
Creator	Chapman, Cheryl Eichholz, Mary Knott, Christine Preston, Sharon Bartfay, Emma Batchelor, Diane Van Dijk, Janice Viola, Raymond Dudgeon, Deborah Lochhaas Gerlach, Jacqueline
Source	Elsevier; Medline; PMC
abstract	Abstract This study evaluated the effectiveness of implementation of common assessment tools, collaborative care plans, and symptom management guidelines for cancer patients as a strategy to improve the quality, coordination, and integration of palliative care service across organizations and health care sectors. A pre-post design to measure the impact on symptom management, caregiver burden and satisfaction with care delivery, and service utilization was used. Two cohorts of eligible patients and caregivers completed Edmonton Symptom Assessment Scales, Caregiver Reaction Assessment and FAMCARE Scales and chart audits were conducted. Administrative data from each participating site were examined for utilization trends. Audits of 53 charts preimplementation and 63 postimplementation showed an increase in documentation of pain from 24.5% to 74.6% (P <0.001) of charts. Administrative data showed a decrease in the percentage of patients with at least one emergency room visit from 94.3% to 84.8% (P <0.001), in the percentage of patients with at least one admission to the acute care hospital (P <0.001), and deaths in acute care 43.1%–35.7% (P =0.133). There was minimal change in the intensity of symptoms (P =0.591), and no change in the burden on the caregiver (P =0.086) or caregiver satisfaction with care (P =0.942). This study showed that implementation of common assessment tools, collaborative care plans, and symptom management guidelines across health sectors can result in some increased documentation of symptoms and efficiencies in care. Future projects should consider imbedding a continuous quality improvement methodology and longer timelines into their projects to improve outcomes.
has issue date	2008-06-30(xsd:dateTime)
bibo:doi	10.1016/j.jpainsymman.2007.07.013
bibo:pmid	18358693
has license	els-covid
sha1sum (hex)	3a088b751dbd4834328d2ff942469891fa3138af
schema:url	https://doi.org/10.1016/j.jpainsymman.2007.07.013
resource representing a document's title	Palliative Care Integration Project (PCIP) Quality Improvement Strategy Evaluation
has PubMed Central identifier	PMC7125855
has PubMed identifier	18358693
schema:publication	Journal of Pain and Symptom Management
resource representing a document's body	covid:3a088b751dbd4834328d2ff942469891fa3138af#body_text
is schema:about of	named entity 'PROJECT' named entity 'QUALITY IMPROVEMENT' named entity 'Integration' named entity 'EVALUATION' named entity 'STRATEGY' named entity 'PALLIATIVE CARE' named entity 'INTEGRATION' named entity 'collaborative care' named entity 'anxiety' named entity 'health professionals' named entity 'quality improvement' named entity 'Ontario' named entity 'caregiver' named entity 'nausea' named entity 'health care providers' named entity 'sample size' named entity 'symptom' named entity 'Palliative Care Unit' named entity 'symptom management' named entity 'Correctional Services of Canada' named entity 'medical charts' named entity 'health care' named entity 'Caregiver' named entity 'health care' named entity 'Palliative' named entity 'caregiver' named entity 'Ontario' named entity 'health care' named entity 'drowsiness' named entity 'Canada' named entity 'ESAS' named entity 'Project' named entity 'Quality Improvement' named entity 'comorbidities' named entity 'palliative care' named entity 'cross-tabulations' named entity 'palliative' named entity 'health services' named entity 'tiredness' named entity 'Research Ethics Board' named entity 'well-being' named entity 'acute care' named entity 't-test' named entity 'patient care' named entity 'ESAS' named entity 'data quality' named entity 'health care providers' named entity 'oncology' named entity 'Cancer Centre' named entity 'palliative care' named entity 'palliative' named entity 'Univariate analysis' named entity 'performance status' named entity '53 days' named entity 'patient care' named entity 'Likert scale' named entity 'health care coverage' named entity 'person-year' named entity 'long-term care facility' named entity 'palliative' named entity 'Canada' named entity 'Palliative Care Unit' named entity 'cognitively impaired' named entity 'symptom' named entity 'palliative' named entity 'cluster analysis' named entity 'symptom management' named entity 'demographic' named entity 'patient care' named entity 'allied health professionals' named entity 'palliative care' named entity 'palliative care'

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