Abstract
Background: Simple methods to help teams identify patients with goals of care (GOC) conversation needs are lacking. Objectives: To develop a tool to identify hospitalized patients who may benefit from GOC conversations. Methods: The Preference-Aligned Communication and Treatment (PACT) Conversation Trigger Tool was implemented as part of a quality improvement initiative in 10 Illinois hospitals and validated in a cohort of patients admitted to the coordinating site's oncology unit (n = 135). Results: The tool was reliable and acceptable to clinicians using it across sites. Thirty percent (n = 40) of patients screened at the coordinating site's oncology unit triggered positive. These patients were more likely to have a do-not-resuscitate order (43% vs. 11%) and palliative care consult (53% vs. 20%) and had lower mean survival time (125 vs. 248 days) than those who did not trigger (p < 0.001). Conclusions: The tool is reliable, acceptable, and can identify hospitalized oncology patients who may benefit from GOC conversations.
Original language | English (US) |
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Pages (from-to) | 1249-1253 |
Number of pages | 5 |
Journal | Journal of palliative medicine |
Volume | 25 |
Issue number | 8 |
DOIs | |
State | Published - Aug 1 2022 |
Funding
This study was supported by Blue Cross Blue Shield of Illinois. The funding source was not involved in the study design, in collection, analysis, or interpretation of data, in the writing of the report, or in the decision to submit the article for publication.
Keywords
- goals of care
- hospital oncology service
- palliative care
- prognosis
ASJC Scopus subject areas
- General Nursing
- Anesthesiology and Pain Medicine