Percentage of Patients Assessed for Dyspnoea, Nausea, Vomiting, Confusion and Bowel Problems Every Visit or at Least Every Three Days
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
There were ongoing assessment and care planning at appropriate intervals that documents changes in the patient and family's needs, and response to treatment over time, with the use of screening/assessment tools, where appropriate. Percentage of patients assessed for dyspnoea, nausea, vomiting, confusion and bowel problems every visit or at least every three days.
Numerator
Number of patients assessed for dyspnoea, nausea, vomiting, confusion and bowel problems every visit or at least every three days
Denominator
Total number of patients
Exclusions
Use of Risk Adjustment
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Voluntary self-participation among services provided by Class C Providers self-report data from service providers across the palliative care community (including private, restructured and community hospitals, inpatient hospices and hospice home care and hospice day care providers). The assessor based at the participating palliative care service is asked to rate their service's performance using the following descriptions of each rating to determine the appropriate rating: Never – means that this does not occur; Rarely – means that this occurs less than 25% of the time; Sometimes – means that this occurs between 25% to less than 50% of the time; Often – means that this occurs between 50% to less than 75% of the time; Almost Always – means that this occurs between 75% to less than 100% of the time; Always – means that this occurs all the time. Many of the quality measures contain multiple aspects. Thus the assessor should consider the team's performance against all aspects of measure. Ratings of "always" should only be applied when all aspects have been achieved. Where aspects are assessed differently, the overall element rating should reflect the lowest rated aspect.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Singapore Hospice National Guidelines for Palliative Care Self-Assessment Workbook (July 2021 version): singaporehospice.org.sg/e-library/docs/national-guidelines-for-palliative-care-self-assessment-workbook-4th-edition-jul-2021/. Date cited 27/10/2023.