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Quality Improvement in Cancer Symptom Assessment and Control: The Provincial Palliative Care Integration Project (PPCIP)  Julie E. Gilbert, MSc, PhD,

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Presentation on theme: "Quality Improvement in Cancer Symptom Assessment and Control: The Provincial Palliative Care Integration Project (PPCIP)  Julie E. Gilbert, MSc, PhD,"— Presentation transcript:

1 Quality Improvement in Cancer Symptom Assessment and Control: The Provincial Palliative Care Integration Project (PPCIP)  Julie E. Gilbert, MSc, PhD, Doris Howell, PhD, RN, Susan King, BScOT, MBA, Carol Sawka, MD, FRCPC, Erin Hughes, RN, BScN, MSc, Helen Angus, BA (Hons), MSc, Deborah Dudgeon, MD, FRCPC  Journal of Pain and Symptom Management  Volume 43, Issue 4, Pages (April 2012) DOI: /j.jpainsymman Copyright © 2012 U.S. Cancer Pain Relief Committee Terms and Conditions

2 Fig. 1 Clinical aims of the Provincial Palliative Care Integration Project. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2012 U.S. Cancer Pain Relief Committee Terms and Conditions

3 Fig. 2 Criteria used in chart audits for coordinated palliative support. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2012 U.S. Cancer Pain Relief Committee Terms and Conditions

4 Fig. 3 Summary of regional quality improvement activities.
Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2012 U.S. Cancer Pain Relief Committee Terms and Conditions

5 Fig. 4 Number of Edmonton Symptom Assessment System assessments by month. December 2006–October 2007. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2012 U.S. Cancer Pain Relief Committee Terms and Conditions

6 Fig. 5 Profile of Edmonton Symptom Assessment System uptake in one region. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2012 U.S. Cancer Pain Relief Committee Terms and Conditions

7 Fig. 6 a) Percentage of patients with no evidence of a comprehensive assessment in response to a high pain score (≥4). February–October b) Percentage of patients with no evidence of a comprehensive assessment in response to a high dyspnea score (≥4). February–October c) Percentage of patients with no evidence of further assessment and/or referral to specialized services in response to high depression score (≥5). February–October 2007. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2012 U.S. Cancer Pain Relief Committee Terms and Conditions

8 Fig. 7 Assessment of function status using Palliative Performance Scale. December 2006–October 2007. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2012 U.S. Cancer Pain Relief Committee Terms and Conditions

9 Fig. 8 Coordinated palliative support. January–October 2007.
Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2012 U.S. Cancer Pain Relief Committee Terms and Conditions

10 Fig. 9 Routine reporting of symptom assessment by Edmonton Symptom Assessment System among lung cancer patients. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2012 U.S. Cancer Pain Relief Committee Terms and Conditions


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