Baseline Evaluation of Assessment, Information, and Management Patterns in a National Quality Improvement Project (AIM HIGHER)

2.50
Hdl Handle:
http://hdl.handle.net/10755/165341
Category:
Abstract
Type:
Presentation
Title:
Baseline Evaluation of Assessment, Information, and Management Patterns in a National Quality Improvement Project (AIM HIGHER)
Author(s):
Johnson, G.; Tauer, K.; Moore, K.; Fortner, B.; Mao, Q.; Schwartzberg, L.
Author Details:
G. Johnson, Accelerated Community Oncology Research Network, Memphis, Tennessee, USA; K. Tauer; K. Moore; B. Fortner; Q. Mao; L. Schwartzberg
Abstract:
The AIM Higher Initiative is a national quality improvement program designed to improve assessment, patient information, and management of five core chemotherapy-related symptom clusters: nausea/vomiting, diarrhea/constipation, depression/anxiety, anemia and neutropenia. Purpose: This report provides results from baseline data derived from patient interviews and medical chart review. Theoretical/Scientific Framework: Methods: We interviewed and reviewed the charts of 350 adult cancer patients regarding the occurrence of the target symptom areas, occurrence of risk and symptom assessment, occurrence of patient information provision, and occurrence of symptom management. Data Analysis: Subjects were primarily female (70%), Caucasian (89%), and married (73%), with greater than high school education (64%). A significant portion of patients reported experiencing target symptoms in the chemotherapy cycle immediately prior to the time of the interview ranging from 14% for both fever and vomiting to 80% for fatigue. Risk assessment was rarely performed ranging from 6% for anxiety to 24% for anemia. Presence of symptoms assessment ranged from 26% for feeling sad or blue to 80% for nausea, and a substantial portion of the patients who had reported experiencing a particular symptom had no conversation with a clinician regarding that symptom at the doctor visit immediately subsequent to the cycle in which it occurred. For patients reporting symptoms, patient information was provided at the subsequent doctor visit ranging from 6% for feeling sad or blue to 36% for nausea. Symptom management occurred at a rate ranging from 5% for feeling sad or blue to 63% for nausea. Findings and Implications: The findings of this study are consistent with previous studies suggesting the need for improvement in supportive care. The AIM Higher Initiative is a quality improvement program designed to improve supportive care, and future analysis will determine if the program is able to improve care over these baseline levels.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
30th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Orlando, Florida, USA
Sponsors:
Funding Sources: Amgen Inc.
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.titleBaseline Evaluation of Assessment, Information, and Management Patterns in a National Quality Improvement Project (AIM HIGHER)en_GB
dc.contributor.authorJohnson, G.en_US
dc.contributor.authorTauer, K.en_US
dc.contributor.authorMoore, K.en_US
dc.contributor.authorFortner, B.en_US
dc.contributor.authorMao, Q.en_US
dc.contributor.authorSchwartzberg, L.en_US
dc.author.detailsG. Johnson, Accelerated Community Oncology Research Network, Memphis, Tennessee, USA; K. Tauer; K. Moore; B. Fortner; Q. Mao; L. Schwartzbergen_US
dc.identifier.urihttp://hdl.handle.net/10755/165341-
dc.description.abstractThe AIM Higher Initiative is a national quality improvement program designed to improve assessment, patient information, and management of five core chemotherapy-related symptom clusters: nausea/vomiting, diarrhea/constipation, depression/anxiety, anemia and neutropenia. Purpose: This report provides results from baseline data derived from patient interviews and medical chart review. Theoretical/Scientific Framework: Methods: We interviewed and reviewed the charts of 350 adult cancer patients regarding the occurrence of the target symptom areas, occurrence of risk and symptom assessment, occurrence of patient information provision, and occurrence of symptom management. Data Analysis: Subjects were primarily female (70%), Caucasian (89%), and married (73%), with greater than high school education (64%). A significant portion of patients reported experiencing target symptoms in the chemotherapy cycle immediately prior to the time of the interview ranging from 14% for both fever and vomiting to 80% for fatigue. Risk assessment was rarely performed ranging from 6% for anxiety to 24% for anemia. Presence of symptoms assessment ranged from 26% for feeling sad or blue to 80% for nausea, and a substantial portion of the patients who had reported experiencing a particular symptom had no conversation with a clinician regarding that symptom at the doctor visit immediately subsequent to the cycle in which it occurred. For patients reporting symptoms, patient information was provided at the subsequent doctor visit ranging from 6% for feeling sad or blue to 36% for nausea. Symptom management occurred at a rate ranging from 5% for feeling sad or blue to 63% for nausea. Findings and Implications: The findings of this study are consistent with previous studies suggesting the need for improvement in supportive care. The AIM Higher Initiative is a quality improvement program designed to improve supportive care, and future analysis will determine if the program is able to improve care over these baseline levels.en_GB
dc.date.available2011-10-27T12:16:48Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:16:48Z-
dc.conference.date2005en_US
dc.conference.name30th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.description.sponsorshipFunding Sources: Amgen Inc.-
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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