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 |
Keywords
- goals of care
- hospital oncology service
- palliative care
- prognosis
ASJC Scopus subject areas
- Nursing(all)
- Anesthesiology and Pain Medicine