Journal of Pain and Symptom Management
Volume 38, Issue 4 , Pages 483-495 , October 2009

Development, Implementation, and Process Evaluation of a Regional Palliative Care Quality Improvement Project

  • Deborah J. Dudgeon, MD, FRCPC

      Affiliations

    • Queen's University Palliative Care Medicine Program, Kingston, Ontario, Canada
    • Kingston, Frontenac and Lennox & Addington Palliative Care Integration Project Evaluation Committee, Kingston, Ontario, Canada
    • Corresponding Author InformationAddress correspondence to: Deborah J. Dudgeon, MD, FRCPC, Palliative Care Medicine Program, Queen's University, 34 Barrie Street, Kingston, Ontario K7L 3J7, Canada.
    • ,
  • Christine Knott, PhD (C), MSc

      Affiliations

    • Southeastern Regional Geriatric Program, Kingston, Ontario, Canada
    • Queen's Department of Medicine, Kingston, Ontario, Canada
    • Kingston, Frontenac and Lennox & Addington Palliative Care Integration Project Evaluation Committee, Kingston, Ontario, Canada
    • ,
  • Cheryl Chapman, RN, MEd, MHSc

      Affiliations

    • Kingston, Frontenac and Lennox & Addington Palliative Care Integration Project Evaluation Committee, Kingston, Ontario, Canada
    • ,
  • Kathy Coulson, RN, MScN

      Affiliations

    • Kingston General Hospital, Kingston, Ontario, Canada
    • ,
  • Elizabeth Jeffery, RN, MSc

      Affiliations

    • Kingston General Hospital, Kingston, Ontario, Canada
    • ,
  • Sharon Preston, RN

      Affiliations

    • Kingston, Frontenac and Lennox & Addington Palliative Care Integration Project Evaluation Committee, Kingston, Ontario, Canada
    • ,
  • Mary Eichholz, RN, MSc

      Affiliations

    • Kingston, Frontenac and Lennox & Addington Palliative Care Integration Project Evaluation Committee, Kingston, Ontario, Canada
    • ,
  • Janice P. Van Dijk, RN, MHSc, MSc

      Affiliations

    • Kingston, Frontenac and Lennox & Addington Palliative Care Integration Project Evaluation Committee, Kingston, Ontario, Canada
    • ,
  • Anne Smith, BSc, MBChB, MRCP(UK), FRCPC

      Affiliations

    • Cancer Centre of Southeastern Ontario, Kingston, Ontario, Canada

,Accepted 2 January 2009.

References 

  1. Hospice Kingston. Needs assessment: Kingston, Frontenac, Lennox and Addington Counties, 2000. Kingston, Ontario: Hospice Kingston, 2000.
  2. Johnston GM, Gibbons L, Burge FI, et al. Identifying potential need for cancer palliation in Nova Scotia. CMAJ. 1998;158:1691–1698
  3. Chapman C. Perceived barriers to delivery of palliative care: Guide to program planning. Brockville, Ontario: Southeastern Ontario Palliative Pain and Symptom Management Program; 1998;
  4. Ostic H. Survey of family physicians—impediments to dying at home (unpublished). Kingston, Ontario, 1999.
  5. Rosenbaum C. Integrating health services in Southeastern Ontario: Moving forward 2000. Kingston, Ontario: Health Care Network of Southeastern Ontario; 2000;
  6. Dudgeon D, Knott TC, Eichholz M, et al. Palliative care integration project (PCIP) quality improvement strategy evaluation. J Pain Symptom Manage. 2008;35:573–582
  7. Health Care Network of Southeastern Ontario Population Estimates (unpublished). Southeastern Ontario District Health Council Health Systems Monitoring Report, 2003.
  8. Bruera E, Kuehn N, Miller MJ, Selmser P, Macmillan K. The Edmonton Symptom Assessment System (ESAS): a simple method for the assessment of palliative care patients. J Palliat Care. 1991;7:6–9
  9. Downing GM, Wainwright W, Victoria Hospice Society. Palliative Performance Scale (PPSv2) version 2. Medical care of the dying, 4th ed. Victoria, BC: Victona Hospice Society, Learning Centre for Palliative Care, 2006:120.
  10. Dudgeon D, Smith A, Van Dijk JP. Symptom identification and management: a rapid notification system. Oncol Exchange. 2007;6:56–58
  11. Dudgeon D, Vaitonis V, Seow H, et al. Ontario, Canada: using networks to integrate palliative care province-wide. J Pain Symptom Manage. 2007;33:640–644

 Funding support from the following agencies is acknowledged: Canadian Health Services Research Foundation; Ministry of Health and Long-Term Care through the Ontario Health Services Research Co-sponsorship Fund; Cancer Centre of Southeastern Ontario; Kingston, Frontenac and Lennox & Addington Community Care Access Centre; Kingston General Hospital; St. Mary's of the Lake Complex Continuing Care Hospice, Kingston, Ontario, Canada. Other support was provided by Health Care Network of Southeastern Ontario.

PII: S0885-3924(09)00599-5

doi: 10.1016/j.jpainsymman.2008.12.006

Journal of Pain and Symptom Management
Volume 38, Issue 4 , Pages 483-495 , October 2009

Article Tools

* Image Usage & Resolution