Improving Prenatal Palliative Care Consultation Using Diagnostic Trigger Criteria
Three percent of pregnancies are complicated by congenital anomalies. Prenatal integration of pediatric palliative care (PPC) may be hindered by non-standardized PPC referral processes. This quality improvement (QI) project aimed to improve prenatal PPC consultation using a diagnostic trigger list....
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| Veröffentlicht in: | Journal of pain and symptom management 2024-02, Vol.67 (2), p.e137-e145 |
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| container_end_page | e145 |
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| container_issue | 2 |
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| container_title | Journal of pain and symptom management |
| container_volume | 67 |
| creator | Lin, Matthew Rholl, Erin Andescavage, Nickie Ackerman, Olivia Fisher, Deborah Lanzel, Ashley F. Mahmood, Laila A. |
| description | Three percent of pregnancies are complicated by congenital anomalies. Prenatal integration of pediatric palliative care (PPC) may be hindered by non-standardized PPC referral processes. This quality improvement (QI) project aimed to improve prenatal PPC consultation using a diagnostic trigger list.
Main outcome measure was the percentage of prenatal PPC consults completed based on diagnostic trigger list eligibility. Balancing measures included stakeholder perspectives on PPC consults and products.
Interventions included creation and implementation of a diagnostic trigger list for prenatal PPC consultation, educational initiatives with stakeholders, and iterative modifications of our prenatal consultation process.
Interventions increased consultation rates ≥80% during the first six months of QI implementation (baseline vs. post-interventions) although this increase was not consistently sustained over a 12-month period.
Diagnostic trigger lists improve initial rates of prenatal PPC consultation and additional interventions are likely needed to sustain this increase. |
| doi_str_mv | 10.1016/j.jpainsymman.2023.10.015 |
| format | Article |
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Main outcome measure was the percentage of prenatal PPC consults completed based on diagnostic trigger list eligibility. Balancing measures included stakeholder perspectives on PPC consults and products.
Interventions included creation and implementation of a diagnostic trigger list for prenatal PPC consultation, educational initiatives with stakeholders, and iterative modifications of our prenatal consultation process.
Interventions increased consultation rates ≥80% during the first six months of QI implementation (baseline vs. post-interventions) although this increase was not consistently sustained over a 12-month period.
Diagnostic trigger lists improve initial rates of prenatal PPC consultation and additional interventions are likely needed to sustain this increase.</description><identifier>ISSN: 0885-3924</identifier><identifier>ISSN: 1873-6513</identifier><identifier>EISSN: 1873-6513</identifier><identifier>DOI: 10.1016/j.jpainsymman.2023.10.015</identifier><identifier>PMID: 37858635</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Child ; Hospice and Palliative Care Nursing ; Humans ; NICU ; Outcome Assessment, Health Care ; Palliative Care ; pediatric palliative care ; perinatal palliative care ; Quality Improvement ; Referral and Consultation</subject><ispartof>Journal of pain and symptom management, 2024-02, Vol.67 (2), p.e137-e145</ispartof><rights>2023</rights><rights>Copyright © 2023 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c321t-2f25f7cb8308d8b8fd9b82bbe5bf8616df813f5bdee0ae371c4da658a7ebf1433</cites><orcidid>0000-0003-0601-5804 ; 0000-0002-0124-2031 ; 0000-0003-4200-1717 ; 0000-0003-3132-9346</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37858635$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Matthew</creatorcontrib><creatorcontrib>Rholl, Erin</creatorcontrib><creatorcontrib>Andescavage, Nickie</creatorcontrib><creatorcontrib>Ackerman, Olivia</creatorcontrib><creatorcontrib>Fisher, Deborah</creatorcontrib><creatorcontrib>Lanzel, Ashley F.</creatorcontrib><creatorcontrib>Mahmood, Laila A.</creatorcontrib><title>Improving Prenatal Palliative Care Consultation Using Diagnostic Trigger Criteria</title><title>Journal of pain and symptom management</title><addtitle>J Pain Symptom Manage</addtitle><description>Three percent of pregnancies are complicated by congenital anomalies. Prenatal integration of pediatric palliative care (PPC) may be hindered by non-standardized PPC referral processes. This quality improvement (QI) project aimed to improve prenatal PPC consultation using a diagnostic trigger list.
Main outcome measure was the percentage of prenatal PPC consults completed based on diagnostic trigger list eligibility. Balancing measures included stakeholder perspectives on PPC consults and products.
Interventions included creation and implementation of a diagnostic trigger list for prenatal PPC consultation, educational initiatives with stakeholders, and iterative modifications of our prenatal consultation process.
Interventions increased consultation rates ≥80% during the first six months of QI implementation (baseline vs. post-interventions) although this increase was not consistently sustained over a 12-month period.
Diagnostic trigger lists improve initial rates of prenatal PPC consultation and additional interventions are likely needed to sustain this increase.</description><subject>Child</subject><subject>Hospice and Palliative Care Nursing</subject><subject>Humans</subject><subject>NICU</subject><subject>Outcome Assessment, Health Care</subject><subject>Palliative Care</subject><subject>pediatric palliative care</subject><subject>perinatal palliative care</subject><subject>Quality Improvement</subject><subject>Referral and Consultation</subject><issn>0885-3924</issn><issn>1873-6513</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1LAzEQhoMotlb_gqw3L1vz0eymR1k_oWCF9hyS7KSk7GZrsi3035vSKh69JDDzTN7Jg9AdwWOCSfGwHq83yvm4b1vlxxRTlupjTPgZGhJRsrzghJ2jIRaC52xKJwN0FeMaY8xZwS7RgJWCi4LxIfp8bzeh2zm_yuYBvOpVk81V0zjVux1klQrp6HzcNn2qdD5bxgP75NTKd7F3JlsEt1pByKrgeghOXaMLq5oIN6d7hJYvz4vqLZ99vL5Xj7PcMEr6nFrKbWm0YFjUQgtbT7WgWgPXVhSkqK0gzHJdA2AFrCRmUquCC1WCtmTC2AjdH99N-39tIfayddFA0ygP3TZKKgQmuCwETej0iJrQxRjAyk1wrQp7SbA8GJVr-ceoPBg9tJLRNHt7itnqFurfyR-FCaiOAKTP7hwEGY0Db6B2AUwv6879I-Yb_42Pgg</recordid><startdate>202402</startdate><enddate>202402</enddate><creator>Lin, Matthew</creator><creator>Rholl, Erin</creator><creator>Andescavage, Nickie</creator><creator>Ackerman, Olivia</creator><creator>Fisher, Deborah</creator><creator>Lanzel, Ashley F.</creator><creator>Mahmood, Laila A.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0601-5804</orcidid><orcidid>https://orcid.org/0000-0002-0124-2031</orcidid><orcidid>https://orcid.org/0000-0003-4200-1717</orcidid><orcidid>https://orcid.org/0000-0003-3132-9346</orcidid></search><sort><creationdate>202402</creationdate><title>Improving Prenatal Palliative Care Consultation Using Diagnostic Trigger Criteria</title><author>Lin, Matthew ; Rholl, Erin ; Andescavage, Nickie ; Ackerman, Olivia ; Fisher, Deborah ; Lanzel, Ashley F. ; Mahmood, Laila A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c321t-2f25f7cb8308d8b8fd9b82bbe5bf8616df813f5bdee0ae371c4da658a7ebf1433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Child</topic><topic>Hospice and Palliative Care Nursing</topic><topic>Humans</topic><topic>NICU</topic><topic>Outcome Assessment, Health Care</topic><topic>Palliative Care</topic><topic>pediatric palliative care</topic><topic>perinatal palliative care</topic><topic>Quality Improvement</topic><topic>Referral and Consultation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Matthew</creatorcontrib><creatorcontrib>Rholl, Erin</creatorcontrib><creatorcontrib>Andescavage, Nickie</creatorcontrib><creatorcontrib>Ackerman, Olivia</creatorcontrib><creatorcontrib>Fisher, Deborah</creatorcontrib><creatorcontrib>Lanzel, Ashley F.</creatorcontrib><creatorcontrib>Mahmood, Laila A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pain and symptom management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Matthew</au><au>Rholl, Erin</au><au>Andescavage, Nickie</au><au>Ackerman, Olivia</au><au>Fisher, Deborah</au><au>Lanzel, Ashley F.</au><au>Mahmood, Laila A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improving Prenatal Palliative Care Consultation Using Diagnostic Trigger Criteria</atitle><jtitle>Journal of pain and symptom management</jtitle><addtitle>J Pain Symptom Manage</addtitle><date>2024-02</date><risdate>2024</risdate><volume>67</volume><issue>2</issue><spage>e137</spage><epage>e145</epage><pages>e137-e145</pages><issn>0885-3924</issn><issn>1873-6513</issn><eissn>1873-6513</eissn><abstract>Three percent of pregnancies are complicated by congenital anomalies. Prenatal integration of pediatric palliative care (PPC) may be hindered by non-standardized PPC referral processes. This quality improvement (QI) project aimed to improve prenatal PPC consultation using a diagnostic trigger list.
Main outcome measure was the percentage of prenatal PPC consults completed based on diagnostic trigger list eligibility. Balancing measures included stakeholder perspectives on PPC consults and products.
Interventions included creation and implementation of a diagnostic trigger list for prenatal PPC consultation, educational initiatives with stakeholders, and iterative modifications of our prenatal consultation process.
Interventions increased consultation rates ≥80% during the first six months of QI implementation (baseline vs. post-interventions) although this increase was not consistently sustained over a 12-month period.
Diagnostic trigger lists improve initial rates of prenatal PPC consultation and additional interventions are likely needed to sustain this increase.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37858635</pmid><doi>10.1016/j.jpainsymman.2023.10.015</doi><orcidid>https://orcid.org/0000-0003-0601-5804</orcidid><orcidid>https://orcid.org/0000-0002-0124-2031</orcidid><orcidid>https://orcid.org/0000-0003-4200-1717</orcidid><orcidid>https://orcid.org/0000-0003-3132-9346</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0885-3924 |
| ispartof | Journal of pain and symptom management, 2024-02, Vol.67 (2), p.e137-e145 |
| issn | 0885-3924 1873-6513 1873-6513 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Child Hospice and Palliative Care Nursing Humans NICU Outcome Assessment, Health Care Palliative Care pediatric palliative care perinatal palliative care Quality Improvement Referral and Consultation |
| title | Improving Prenatal Palliative Care Consultation Using Diagnostic Trigger Criteria |
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