Operationalizing Depression Screening in Ambulatory Palliative Care : A Quality Improvement Project
Copyright © 2022 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved..
BACKGROUND: Depression is common in the palliative care setting and impacts outcomes. Operationalized screening is unusual in palliative care.
LOCAL PROBLEM: Lack of operationalized depression screening at two ambulatory palliative care sites.
METHODS: A fellow-driven quality improvement initiative to implement operationalized depression screening using the patient health questionnaire-2 (PHQ-2). The primary measure was rate of EMR-documented depression screening. Secondary measures were clinician perspectives on the feasibility and acceptability of implementing the PHQ-2.
INTERVENTION: The intervention is a clinic-wide implementation of PHQ-2 screening supported by note templates, brief clinician training, referral resources for clinicians, and opportunities for indirect psychiatric consultation.
RESULTS: Operationalized depression screening rates increased from 2% to 38%. All clinicians felt incorporation of depression screening was useful and feasible.
CONCLUSIONS: Operationalized depression screening is feasible in ambulatory palliative care workflow, though optimization through having screening be completed prior to clinician visit might improve uptake.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:65 |
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| Enthalten in: |
Journal of pain and symptom management - 65(2023), 1 vom: 01. Jan., Seite e7-e13 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Shalev, Daniel [VerfasserIn] |
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| Links: |
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| Themen: |
Depression |
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| Anmerkungen: |
Date Completed 27.12.2022 Date Revised 02.01.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jpainsymman.2022.09.002 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM346207436 |
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| 500 | |a Date Completed 27.12.2022 | ||
| 500 | |a Date Revised 02.01.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2022 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: Depression is common in the palliative care setting and impacts outcomes. Operationalized screening is unusual in palliative care | ||
| 520 | |a LOCAL PROBLEM: Lack of operationalized depression screening at two ambulatory palliative care sites | ||
| 520 | |a METHODS: A fellow-driven quality improvement initiative to implement operationalized depression screening using the patient health questionnaire-2 (PHQ-2). The primary measure was rate of EMR-documented depression screening. Secondary measures were clinician perspectives on the feasibility and acceptability of implementing the PHQ-2 | ||
| 520 | |a INTERVENTION: The intervention is a clinic-wide implementation of PHQ-2 screening supported by note templates, brief clinician training, referral resources for clinicians, and opportunities for indirect psychiatric consultation | ||
| 520 | |a RESULTS: Operationalized depression screening rates increased from 2% to 38%. All clinicians felt incorporation of depression screening was useful and feasible | ||
| 520 | |a CONCLUSIONS: Operationalized depression screening is feasible in ambulatory palliative care workflow, though optimization through having screening be completed prior to clinician visit might improve uptake | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Depression | |
| 650 | 4 | |a palliative care | |
| 650 | 4 | |a psychiatry | |
| 650 | 4 | |a psychooncology | |
| 650 | 4 | |a screening | |
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| 700 | 1 | |a Aytaman, Yasemin |e verfasserin |4 aut | |
| 700 | 1 | |a Moya-Tapia, Manuel A |e verfasserin |4 aut | |
| 700 | 1 | |a Blinderman, Craig D |e verfasserin |4 aut | |
| 700 | 1 | |a Silva, Milagros D |e verfasserin |4 aut | |
| 700 | 1 | |a Reid, M Carrington |e verfasserin |4 aut | |
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