SURVEY AND CHART REVIEW EVALUATION OF THE PATIENT ASSESSMENT, CARE & EDUCATIONAL SYSTEM

2.50
Hdl Handle:
http://hdl.handle.net/10755/165022
Category:
Abstract
Type:
Presentation
Title:
SURVEY AND CHART REVIEW EVALUATION OF THE PATIENT ASSESSMENT, CARE & EDUCATIONAL SYSTEM
Author(s):
Johnson, Gina; Mark, Tami; Fortner, Barry
Author Details:
Gina Johnson, MSN RN, Manager of Clinical Projects, Supportive Oncology Services, Inc., Memphis, Tennessee, USA, email: gjohnson@sosacorn.com; Tami Mark, PhD; Thomson Medstat, Washington, DC; Barry Fortner, PhD
Abstract:
The Patient Assessment, Care & Education (PACE) System was designed to address the under-identification and treatment of chemotherapy- related symptoms. It uses a pen-based e/Tablet operating off a wireless network. It administers the Patient Care Monitor (PCM), a psychometrically validated, patient-reported symptom severity screening scale that generates a real-time, point-of-care report. Cancer Support Network (CSN) provides educational materials. The aim was to evaluate the system. Ninety-two providers at 16 clinics were surveyed about their experiences. One hundred patients at two clinics were surveyed about their perceptions. At two clinics 100 patient charts were abstracted in the years prior to and after implementation to determine assessment rates. The majority of patients reported being satisfied with the PCM (55%). Slightly more than half indicated that it helped them remember symptoms (53%) and 44% said it encouraged discussion of symptoms. 91% of respondents said it was easy to use and read (90%). 79% of patients would recommend it to others. Providers seemed to value the report. The majority thought it increased the frequency for symptom identification and treatment. Almost 60% indicated that the PCM helped a lot with allowing for aggressive symptom treatment, and almost 50% reported that it helped them to aggressively treat under-reported symptoms. The chart results show statistically significant increases in the assessment rates for depression, pain, and fatigue after implementation. Prior to implementation of the system only 9% of patients were assessed for depression, as compared to 73% after implementation. Fatigue assessment increased by 29 percentage points, from 63% of patients to 92%. Pain assessment increased by 21 percentage points, from 76% of patients to 97%. Examining sites separately revealed that Site A saw an increase in screening rates for all three symptoms. Site B screening rates for depression increased substantially, but there was a slight decline in screening rates for fatigue and pain. Technology offers solutions for enhanced clinical care and efficiency. Nurses are in a role that will be expected to adopt technology for such purposes. The PACE SystemÖ appears to be a promising approach to addressing the widespread problem of under-identification and under-treatment of symptoms.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleSURVEY AND CHART REVIEW EVALUATION OF THE PATIENT ASSESSMENT, CARE & EDUCATIONAL SYSTEMen_GB
dc.contributor.authorJohnson, Ginaen_US
dc.contributor.authorMark, Tamien_US
dc.contributor.authorFortner, Barryen_US
dc.author.detailsGina Johnson, MSN RN, Manager of Clinical Projects, Supportive Oncology Services, Inc., Memphis, Tennessee, USA, email: gjohnson@sosacorn.com; Tami Mark, PhD; Thomson Medstat, Washington, DC; Barry Fortner, PhDen_US
dc.identifier.urihttp://hdl.handle.net/10755/165022-
dc.description.abstractThe Patient Assessment, Care & Education (PACE) System was designed to address the under-identification and treatment of chemotherapy- related symptoms. It uses a pen-based e/Tablet operating off a wireless network. It administers the Patient Care Monitor (PCM), a psychometrically validated, patient-reported symptom severity screening scale that generates a real-time, point-of-care report. Cancer Support Network (CSN) provides educational materials. The aim was to evaluate the system. Ninety-two providers at 16 clinics were surveyed about their experiences. One hundred patients at two clinics were surveyed about their perceptions. At two clinics 100 patient charts were abstracted in the years prior to and after implementation to determine assessment rates. The majority of patients reported being satisfied with the PCM (55%). Slightly more than half indicated that it helped them remember symptoms (53%) and 44% said it encouraged discussion of symptoms. 91% of respondents said it was easy to use and read (90%). 79% of patients would recommend it to others. Providers seemed to value the report. The majority thought it increased the frequency for symptom identification and treatment. Almost 60% indicated that the PCM helped a lot with allowing for aggressive symptom treatment, and almost 50% reported that it helped them to aggressively treat under-reported symptoms. The chart results show statistically significant increases in the assessment rates for depression, pain, and fatigue after implementation. Prior to implementation of the system only 9% of patients were assessed for depression, as compared to 73% after implementation. Fatigue assessment increased by 29 percentage points, from 63% of patients to 92%. Pain assessment increased by 21 percentage points, from 76% of patients to 97%. Examining sites separately revealed that Site A saw an increase in screening rates for all three symptoms. Site B screening rates for depression increased substantially, but there was a slight decline in screening rates for fatigue and pain. Technology offers solutions for enhanced clinical care and efficiency. Nurses are in a role that will be expected to adopt technology for such purposes. The PACE SystemÖ appears to be a promising approach to addressing the widespread problem of under-identification and under-treatment of symptoms.en_GB
dc.date.available2011-10-27T12:11:08Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:11:08Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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